| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.88 | $155.88 | $155.88 | |
Aetna
| Professional | $20.05 | $22.23 | $22.23 | |
BCBS
| Facility | $0.02 | $55.59 | $61.77 | |
Cigna
| Facility | $80.47 | $80.47 | $80.47 | |
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
United
| Professional | $9.49 | $16.27 | $43.38 |