| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.11 | $93.11 | $93.11 | |
Aetna
| Professional | $89.41 | $97.45 | $98.35 | |
BCBS
| Professional | $191.25 | $225.00 | $225.00 | |
Cigna
| Facility | $84.35 | $84.35 | $84.35 | |
Cigna
| Professional | $89.41 | $126.52 | $126.52 | |
United
| Professional | $89.41 | $89.41 | $89.41 |