| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.92 | $107.92 | $107.92 | |
Aetna
| Professional | $97.94 | $106.75 | $107.73 | |
BCBS
| Professional | $175.44 | $206.40 | $206.40 | |
Cigna
| Facility | $92.40 | $92.40 | $92.40 | |
Cigna
| Professional | $97.94 | $138.59 | $138.59 | |
United
| Professional | $97.94 | $97.94 | $97.94 |