| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.72 | $101.72 | $104.77 | |
Aetna
| Professional | $101.72 | $101.72 | $109.85 | |
BCBS
| Facility | $101.72 | $109.30 | $158.13 | |
BCBS
| Professional | $101.72 | $101.72 | $107.47 | |
Cigna
| Facility | $96.66 | $101.72 | $101.72 | |
Cigna
| Professional | $101.72 | $101.72 | $110.35 | |
United
| Professional | $101.72 | $101.72 | $124.10 |