| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.54 | $98.54 | $98.54 | |
Aetna
| Professional | $101.03 | $110.12 | $111.13 | |
BCBS
| Professional | $174.32 | $205.08 | $205.08 | |
Cigna
| Facility | $95.31 | $95.31 | $95.31 | |
Cigna
| Professional | $101.03 | $142.97 | $142.97 | |
United
| Professional | $101.03 | $101.03 | $101.03 |