| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.86 | $101.86 | $101.86 | |
Aetna
| Professional | $97.94 | $97.94 | $101.86 | |
BCBS
| Facility | $0.02 | $0.02 | $194.67 | |
Cigna
| Facility | $92.40 | $97.94 | $97.94 | |
Cigna
| Professional | $97.94 | $97.94 | $97.94 | |
United
| Professional | $97.94 | $97.94 | $97.94 |