| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.96 | $161.96 | $161.96 | |
Aetna
| Professional | $161.96 | $161.96 | $165.83 | |
BCBS
| Professional | $167.51 | $197.07 | $197.07 | |
Cigna
| Facility | $156.44 | $156.44 | $156.44 | |
Cigna
| Professional | $165.83 | $165.83 | $234.67 | |
United
| Professional | $165.83 | $165.83 | $165.83 |