| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.72 | $100.72 | $100.72 | |
Aetna
| Professional | $101.72 | $110.87 | $111.89 | |
BCBS
| Professional | $229.98 | $270.57 | $270.57 | |
Cigna
| Facility | $95.96 | $95.96 | $95.96 | |
Cigna
| Professional | $101.72 | $143.94 | $143.94 | |
United
| Professional | $101.72 | $101.72 | $101.72 |