| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.97 | $125.68 | $125.94 | |
Aetna
| Professional | $104.73 | $109.97 | $141.38 | |
BCBS
| Facility | $71.81 | $71.81 | $79.00 | |
Cigna
| Facility | $104.73 | $104.73 | $120.88 | |
Cigna
| Professional | $104.73 | $104.73 | $104.73 | |
United
| Professional | $100.54 | $104.73 | $134.05 |