| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.12 | $190.12 | $212.66 | |
Aetna
| Professional | $90.53 | $118.55 | $190.12 | |
BCBS
| Professional | $122.22 | $203.70 | $203.70 | |
Cigna
| Facility | $79.44 | $157.72 | $254.72 | |
Cigna
| Professional | $61.66 | $111.45 | $203.99 | |
United
| Facility | $122.22 | $122.22 | $122.22 | |
United
| Professional | $51.33 | $75.45 | $166.74 |