| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.20 | $88.20 | $88.20 | |
Aetna
| Professional | $87.14 | $88.20 | $88.20 | |
BCBS
| Professional | $110.25 | $137.00 | $282.00 | |
Cigna
| Facility | $176.56 | $176.56 | $176.56 | |
Cigna
| Professional | $143.27 | $143.27 | $189.33 | |
United
| Professional | $37.04 | $37.04 | $88.20 |