| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $104.71 | $104.71 | $165.96 | |
BCBS
| Professional | $162.18 | $190.55 | $190.55 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $104.71 | $117.49 | $147.91 | |
United
| Facility | $109.65 | $109.65 | $302.00 | |
United
| Professional | $104.71 | $104.71 | $151.36 |