| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.96 | $223.85 | $223.85 | |
Aetna
| Professional | $152.96 | $158.56 | $223.85 | |
BCBS
| Facility | $125.00 | $125.37 | $125.37 | |
Cigna
| Facility | $57.16 | $158.56 | $158.56 | |
Cigna
| Professional | $158.56 | $158.56 | $158.56 | |
United
| Professional | $149.22 | $155.44 | $202.09 |