| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.22 | $216.78 | $633.04 | |
Aetna
| Professional | $144.28 | $147.22 | $167.83 | |
BCBS
| Facility | $86.67 | $159.47 | $297.19 | |
Cigna
| Facility | $145.79 | $245.99 | $294.94 | |
United
| Professional | $122.45 | $171.71 | $267.87 |