| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.20 | $275.20 | $275.20 | |
Aetna
| Professional | $67.73 | $67.73 | $71.98 | |
BCBS
| Facility | $110.37 | $122.63 | $162.33 | |
Cigna
| Facility | $60.25 | $60.25 | $60.25 | |
Cigna
| Professional | $60.25 | $60.25 | $60.25 | |
United
| Professional | $70.56 | $70.56 | $70.56 |