| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.24 | $126.24 | $126.24 | |
Aetna
| Professional | $126.24 | $126.24 | $127.45 | |
BCBS
| Professional | $183.21 | $215.54 | $215.54 | |
Cigna
| Facility | $120.24 | $120.24 | $120.24 | |
Cigna
| Professional | $127.45 | $127.45 | $180.36 | |
United
| Professional | $127.45 | $127.45 | $127.45 |