| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.26 | $130.26 | $130.26 | |
Aetna
| Professional | $111.15 | $121.16 | $122.27 | |
BCBS
| Professional | $402.90 | $474.00 | $474.00 | |
Cigna
| Facility | $104.86 | $104.86 | $104.86 | |
Cigna
| Professional | $111.15 | $157.29 | $157.29 | |
United
| Professional | $111.15 | $111.15 | $111.15 |