| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.00 | $125.00 | $125.00 | |
Aetna
| Professional | $59.17 | $125.00 | $125.00 | |
BCBS
| Professional | $103.16 | $103.16 | $103.16 | |
Cigna
| Facility | $89.65 | $89.65 | $138.60 | |
Cigna
| Professional | $65.44 | $89.65 | $121.36 | |
United
| Professional | $46.10 | $69.14 | $104.15 |