| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.28 | $109.28 | $109.28 | |
Aetna
| Professional | $108.47 | $109.55 | $125.82 | |
BCBS
| Professional | $163.28 | $192.09 | $192.09 | |
Cigna
| Facility | $102.33 | $102.33 | $102.33 | |
Cigna
| Professional | $108.47 | $133.03 | $153.49 | |
United
| Professional | $108.47 | $108.47 | $108.47 |