| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.94 | $171.94 | $171.94 | |
Aetna
| Professional | $171.94 | $171.94 | $172.22 | |
BCBS
| Professional | $169.26 | $199.13 | $199.13 | |
Cigna
| Facility | $162.47 | $162.47 | $162.47 | |
Cigna
| Professional | $172.22 | $172.22 | $243.71 | |
United
| Professional | $172.22 | $172.22 | $172.22 |