| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.20 | $176.70 | $219.34 | |
Aetna
| Professional | $37.21 | $37.21 | $37.21 | |
BCBS
| Professional | $87.75 | $109.00 | $225.00 | |
Cigna
| Facility | $140.27 | $140.27 | $140.27 | |
Cigna
| Professional | $41.00 | $113.98 | $167.60 | |
United
| Professional | $29.48 | $36.40 | $86.66 |