| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $79.43 | $107.15 | $128.82 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
United
| Facility | $104.71 | $104.71 | $104.71 | |
United
| Professional | $42.66 | $64.57 | $104.71 |