| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.07 | $97.07 | $97.07 | |
Aetna
| Professional | $60.00 | $60.00 | $97.07 | |
BCBS
| Professional | $93.33 | $109.80 | $109.80 | |
Cigna
| Facility | $56.61 | $56.61 | $56.61 | |
Cigna
| Professional | $60.00 | $60.00 | $84.91 | |
United
| Professional | $60.00 | $60.00 | $60.00 |