| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.12 | $125.12 | $125.12 | |
Aetna
| Professional | $125.12 | $125.12 | $140.75 | |
BCBS
| Facility | $76.20 | $92.49 | $124.43 | |
Cigna
| Facility | $78.18 | $133.21 | $202.38 | |
United
| Professional | $116.82 | $143.26 | $219.49 |