| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.58 | $129.58 | $129.58 | |
Aetna
| Professional | $129.47 | $129.47 | $129.58 | |
BCBS
| Professional | $125.10 | $147.18 | $147.18 | |
Cigna
| Facility | $122.15 | $122.15 | $122.15 | |
Cigna
| Professional | $129.47 | $129.47 | $183.23 | |
United
| Professional | $129.47 | $129.47 | $129.47 |