| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.75 | $64.75 | $64.75 | |
Aetna
| Professional | $106.97 | $116.60 | $117.66 | |
BCBS
| Professional | $95.24 | $112.05 | $112.05 | |
Cigna
| Facility | $100.91 | $100.91 | $100.91 | |
Cigna
| Professional | $106.97 | $151.37 | $151.37 | |
United
| Professional | $106.97 | $106.97 | $106.97 |