| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.60 | $115.60 | $115.60 | |
Aetna
| Professional | $111.15 | $111.15 | $115.60 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $104.86 | $111.15 | $111.15 | |
Cigna
| Professional | $111.15 | $111.15 | $111.15 | |
United
| Professional | $111.15 | $111.15 | $111.15 |