| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.00 | $79.00 | $79.00 | |
Aetna
| Professional | $79.00 | $79.00 | $134.54 | |
BCBS
| Facility | $146.09 | $177.29 | $238.52 | |
Cigna
| Professional | $110.73 | $110.73 | $110.73 | |
United
| Professional | $195.94 | $195.94 | $221.41 |