| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.83 | $135.97 | $164.96 | |
Aetna
| Professional | $87.03 | $110.70 | $140.47 | |
BCBS
| Professional | $108.75 | $119.95 | $143.94 | |
Cigna
| Facility | $60.00 | $75.00 | $90.00 | |
Cigna
| Professional | $77.00 | $148.13 | $177.12 | |
United
| Professional | $78.26 | $109.72 | $171.96 |