| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.49 | $101.49 | $101.49 | |
Aetna
| Professional | $101.49 | $101.49 | $102.94 | |
BCBS
| Professional | $163.19 | $192.00 | $192.00 | |
Cigna
| Facility | $97.11 | $97.11 | $97.11 | |
Cigna
| Professional | $102.94 | $102.94 | $145.66 | |
United
| Professional | $102.94 | $102.94 | $102.94 |