| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $131.83 | |
Aetna
| Professional | $131.83 | $131.83 | $229.09 | |
BCBS
| Facility | $51.29 | $87.10 | $162.18 | |
Cigna
| Facility | $39.81 | $91.20 | $177.83 | |
United
| Facility | $20.42 | $48.98 | $123.03 | |
United
| Professional | $26.92 | $26.92 | $26.92 |