| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.58 | $104.58 | $104.58 | |
Aetna
| Professional | $89.34 | $90.24 | $98.28 | |
BCBS
| Professional | $131.07 | $154.19 | $154.19 | |
Cigna
| Facility | $84.29 | $84.29 | $84.29 | |
Cigna
| Professional | $89.34 | $109.57 | $126.43 | |
United
| Professional | $89.34 | $89.34 | $89.34 |