| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.15 | $180.22 | $180.22 | |
Aetna
| Professional | $123.15 | $127.65 | $180.22 | |
BCBS
| Facility | $120.14 | $120.14 | $132.15 | |
Cigna
| Facility | $63.43 | $63.43 | $63.43 | |
Cigna
| Professional | $63.43 | $63.43 | $63.43 | |
United
| Professional | $120.14 | $125.15 | $162.69 |