| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.61 | $119.61 | $119.61 | |
Aetna
| Professional | $119.61 | $119.61 | $161.47 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
Cigna
| Facility | $131.35 | $131.35 | $131.35 | |
Cigna
| Professional | $104.26 | $131.35 | $131.35 | |
United
| Professional | $117.28 | $132.53 | $140.74 |