| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.62 | $172.62 | $238.38 | |
Aetna
| Professional | $82.20 | $132.88 | $172.62 | |
BCBS
| Professional | $123.30 | $205.50 | $205.50 | |
Cigna
| Facility | $89.05 | $176.92 | $256.75 | |
Cigna
| Professional | $55.92 | $120.82 | $206.16 | |
United
| Facility | $123.30 | $123.30 | $137.00 | |
United
| Professional | $57.54 | $82.20 | $137.00 |