| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.01 | $110.01 | $110.01 | |
Aetna
| Professional | $107.42 | $107.42 | $110.01 | |
BCBS
| Facility | $47.16 | $47.16 | $47.16 | |
BCBS
| Professional | $47.16 | $47.16 | $47.16 | |
Cigna
| Facility | $116.06 | $116.06 | $167.91 | |
United
| Professional | $122.95 | $129.41 | $129.41 |