| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.17 | $121.17 | $121.17 | |
Aetna
| Professional | $61.54 | $121.17 | $121.17 | |
BCBS
| Professional | $95.50 | $95.50 | $95.50 | |
Cigna
| Facility | $90.07 | $90.07 | $144.13 | |
Cigna
| Professional | $65.75 | $90.07 | $126.22 | |
United
| Professional | $47.94 | $71.91 | $114.82 |