| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.30 | $104.30 | $104.30 | |
Aetna
| Professional | $100.61 | $104.30 | $173.43 | |
BCBS
| Professional | $102.25 | $102.25 | $102.25 | |
Cigna
| Facility | $108.39 | $108.39 | $108.39 | |
Cigna
| Professional | $108.39 | $108.39 | $138.19 | |
United
| Professional | $122.70 | $122.70 | $122.70 |