| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.96 | $262.70 | $364.35 | |
Aetna
| Professional | $20.89 | $23.58 | $23.58 | |
BCBS
| Professional | $55.83 | $69.00 | $143.00 | |
Cigna
| Facility | $89.33 | $89.33 | $89.33 | |
Cigna
| Professional | $11.84 | $36.76 | $45.95 | |
United
| Professional | $12.13 | $18.95 | $33.38 |