| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $56.23 | $67.61 | $114.82 | |
BCBS
| Facility | $56.23 | $56.23 | $61.66 | |
BCBS
| Professional | $56.23 | $77.62 | $95.50 | |
Cigna
| Professional | $50.12 | $64.57 | $147.91 | |
United
| Professional | $57.54 | $75.86 | $112.20 |