| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.80 | $114.80 | $114.80 | |
Aetna
| Professional | $54.35 | $114.80 | $114.80 | |
BCBS
| Professional | $94.74 | $94.74 | $94.74 | |
Cigna
| Facility | $104.21 | $104.21 | $148.25 | |
Cigna
| Professional | $76.06 | $76.06 | $171.75 | |
United
| Professional | $42.34 | $62.94 | $95.66 |