| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.95 | $104.95 | $104.95 | |
Aetna
| Professional | $104.73 | $104.73 | $104.95 | |
BCBS
| Professional | $105.92 | $124.61 | $124.61 | |
Cigna
| Facility | $98.80 | $98.80 | $98.80 | |
Cigna
| Professional | $104.73 | $104.73 | $148.19 | |
United
| Professional | $104.73 | $104.73 | $104.73 |