| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.09 | $125.09 | $125.09 | |
Aetna
| Professional | $59.22 | $125.09 | $125.09 | |
BCBS
| Professional | $103.23 | $103.23 | $103.23 | |
Cigna
| Facility | $86.66 | $86.66 | $155.49 | |
Cigna
| Professional | $63.26 | $86.66 | $136.15 | |
United
| Professional | $46.13 | $69.19 | $104.23 |