| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.66 | $130.66 | $130.66 | |
Aetna
| Professional | $130.66 | $130.66 | $134.19 | |
BCBS
| Professional | $161.24 | $189.69 | $189.69 | |
Cigna
| Facility | $126.60 | $126.60 | $126.60 | |
Cigna
| Professional | $177.04 | $177.04 | $177.04 | |
United
| Professional | $147.61 | $161.03 | $195.02 |