| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.01 | $170.44 | $180.96 | |
Aetna
| Professional | $157.15 | $171.76 | $192.86 | |
BCBS
| Professional | $110.85 | $128.66 | $246.22 | |
Cigna
| Facility | $290.77 | $290.77 | $290.77 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
United
| Professional | $196.11 | $247.54 | $378.55 |