| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.82 | $175.82 | $175.82 | |
Aetna
| Professional | $175.82 | $175.82 | $181.22 | |
BCBS
| Professional | $59.93 | $70.50 | $70.50 | |
Cigna
| Facility | $170.96 | $170.96 | $170.96 | |
Cigna
| Professional | $181.22 | $181.22 | $256.45 | |
United
| Professional | $181.22 | $181.22 | $181.22 |