| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $177.56 | $272.16 | |
Aetna
| Professional | $177.56 | $177.56 | $197.09 | |
BCBS
| Facility | $62.69 | $62.69 | $68.95 | |
Cigna
| Facility | $174.44 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
United
| Professional | $155.75 | $176.00 | $186.90 |