| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.00 | $141.00 | $141.00 | |
Aetna
| Professional | $141.00 | $141.00 | $141.60 | |
BCBS
| Professional | $145.41 | $171.07 | $171.07 | |
Cigna
| Facility | $133.59 | $133.59 | $133.59 | |
Cigna
| Professional | $141.60 | $141.60 | $200.38 | |
United
| Professional | $141.60 | $141.60 | $141.60 |