| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $194.98 | |
Aetna
| Professional | $67.61 | $89.13 | $141.25 | |
BCBS
| Professional | $114.82 | $114.82 | $151.36 | |
Cigna
| Facility | $72.44 | $144.54 | $208.93 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
United
| Facility | $100.00 | $100.00 | $112.20 | |
United
| Professional | $46.77 | $67.61 | $112.20 |