| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.57 | $139.63 | $145.32 | |
Aetna
| Professional | $139.63 | $139.63 | $230.97 | |
BCBS
| Facility | $223.73 | $223.73 | $243.42 | |
Cigna
| Facility | $75.70 | $223.99 | $371.08 | |
Cigna
| Professional | $77.62 | $120.06 | $154.91 | |
United
| Professional | $84.96 | $241.72 | $456.99 |