| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.01 | $129.01 | $129.01 | |
Aetna
| Professional | $61.07 | $129.01 | $129.01 | |
BCBS
| Professional | $106.46 | $106.46 | $106.46 | |
Cigna
| Facility | $89.11 | $89.11 | $187.31 | |
Cigna
| Professional | $65.05 | $89.11 | $164.02 | |
United
| Professional | $46.72 | $70.09 | $112.96 |