| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.46 | $159.46 | $159.46 | |
Aetna
| Professional | $23.33 | $49.72 | $49.72 | |
BCBS
| Professional | $69.00 | $86.00 | $86.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $38.40 | $63.91 | $118.72 | |
United
| Professional | $33.54 | $50.53 | $50.53 |