| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.04 | $216.26 | $395.89 | |
Aetna
| Professional | $97.78 | $154.60 | $164.75 | |
BCBS
| Professional | $131.66 | $155.87 | $216.47 | |
Cigna
| Facility | $275.38 | $275.38 | $275.38 | |
Cigna
| Professional | $1.69 | $196.61 | $279.37 | |
United
| Professional | $80.26 | $184.95 | $295.92 |