| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.83 | $206.33 | $206.67 | |
Aetna
| Professional | $172.22 | $180.83 | $232.50 | |
BCBS
| Facility | $94.73 | $94.73 | $104.20 | |
Cigna
| Facility | $94.85 | $172.22 | $172.22 | |
Cigna
| Professional | $172.22 | $172.22 | $172.22 | |
United
| Professional | $165.33 | $172.22 | $223.89 |