| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.88 | $109.88 | $181.16 | |
Aetna
| Professional | $82.25 | $109.88 | $204.18 | |
BCBS
| Facility | $167.54 | $167.54 | $184.30 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
United
| Professional | $124.42 | $163.72 | $273.51 |