| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $123.03 | |
Aetna
| Professional | $85.11 | $114.82 | $199.53 | |
BCBS
| Professional | $151.36 | $190.55 | $389.05 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $63.10 | $70.79 | $295.12 | |
United
| Facility | $123.03 | $123.03 | $123.03 | |
United
| Professional | $51.29 | $63.10 | $151.36 |