| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.93 | $130.93 | $130.93 | |
Aetna
| Professional | $61.98 | $130.93 | $130.93 | |
BCBS
| Professional | $108.05 | $108.05 | $108.05 | |
Cigna
| Facility | $100.43 | $100.43 | $155.26 | |
Cigna
| Professional | $73.31 | $100.43 | $135.94 | |
United
| Professional | $48.28 | $72.43 | $109.10 |