| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.65 | $127.65 | $127.65 | |
Aetna
| Professional | $123.15 | $127.65 | $212.28 | |
BCBS
| Facility | $212.41 | $257.77 | $346.78 | |
Cigna
| Facility | $63.43 | $63.43 | $63.43 | |
Cigna
| Professional | $63.43 | $63.43 | $118.26 | |
United
| Professional | $125.15 | $125.15 | $125.15 |