| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.97 | $110.97 | $110.97 | |
Aetna
| Professional | $106.70 | $106.70 | $110.97 | |
BCBS
| Facility | $262.64 | $357.22 | $396.91 | |
Cigna
| Facility | $100.66 | $106.70 | $106.70 | |
Cigna
| Professional | $106.70 | $106.70 | $106.70 | |
United
| Professional | $106.70 | $106.70 | $106.70 |