| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.18 | $116.18 | $116.18 | |
Aetna
| Professional | $63.68 | $116.18 | $116.18 | |
BCBS
| Professional | $109.31 | $109.31 | $109.31 | |
Cigna
| Facility | $76.68 | $76.68 | $97.41 | |
Cigna
| Professional | $55.98 | $76.68 | $121.99 | |
United
| Facility | $48.57 | $71.01 | $85.22 | |
United
| Professional | $47.77 | $71.65 | $111.01 |