| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.40 | $124.85 | $124.85 | |
Aetna
| Professional | $85.31 | $88.43 | $124.85 | |
BCBS
| Facility | $83.23 | $83.23 | $91.55 | |
Cigna
| Facility | $88.43 | $88.43 | $96.43 | |
Cigna
| Professional | $88.43 | $88.43 | $88.43 | |
United
| Professional | $83.23 | $86.70 | $112.71 |