| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.71 | $103.71 | $103.71 | |
Aetna
| Professional | $99.13 | $99.13 | $103.71 | |
BCBS
| Professional | $177.44 | $208.75 | $208.75 | |
Cigna
| Facility | $93.52 | $93.52 | $93.52 | |
Cigna
| Professional | $99.13 | $99.13 | $140.28 | |
United
| Professional | $99.13 | $99.13 | $110.35 |