| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.03 | $108.03 | $108.03 | |
Aetna
| Professional | $95.90 | $96.86 | $105.49 | |
BCBS
| Professional | $204.00 | $240.00 | $240.00 | |
Cigna
| Facility | $90.47 | $90.47 | $90.47 | |
Cigna
| Professional | $95.90 | $117.61 | $135.71 | |
United
| Professional | $95.90 | $95.90 | $157.10 |