| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.44 | $111.44 | $111.44 | |
Aetna
| Professional | $56.60 | $111.44 | $111.44 | |
BCBS
| Professional | $98.67 | $98.67 | $98.67 | |
Cigna
| Facility | $104.66 | $104.66 | $131.84 | |
Cigna
| Professional | $88.96 | $104.66 | $126.18 | |
United
| Professional | $39.17 | $66.14 | $91.05 |