| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.00 | $137.00 | $137.00 | |
Aetna
| Professional | $135.36 | $137.00 | $137.00 | |
BCBS
| Professional | $171.25 | $212.00 | $438.00 | |
Cigna
| Facility | $274.26 | $274.26 | $274.26 | |
Cigna
| Professional | $64.64 | $222.63 | $294.85 | |
United
| Professional | $57.54 | $57.54 | $137.00 |