| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.59 | $172.82 | $201.76 | |
Aetna
| Professional | $164.59 | $172.82 | $197.51 | |
BCBS
| Facility | $152.06 | $152.06 | $167.27 | |
Cigna
| Facility | $164.59 | $164.59 | $199.07 | |
Cigna
| Professional | $164.59 | $164.59 | $164.59 | |
United
| Professional | $158.01 | $164.59 | $213.97 |