| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.80 | $153.50 | $153.50 | |
Aetna
| Professional | $153.50 | $153.50 | $157.34 | |
BCBS
| Professional | $191.88 | $238.00 | $491.00 | |
Cigna
| Facility | $307.06 | $307.06 | $307.06 | |
Cigna
| Professional | $176.76 | $176.76 | $220.96 | |
United
| Professional | $64.47 | $64.47 | $153.50 |