| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $112.20 | $112.20 | |
BCBS
| Professional | $85.11 | $134.90 | $134.90 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $95.50 | $112.20 | $112.20 | |
United
| Facility | $11.22 | $85.11 | $112.20 | |
United
| Professional | $81.28 | $91.20 | $186.21 |