| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.21 | $163.21 | $163.21 | |
Aetna
| Professional | $164.25 | $165.90 | $190.53 | |
BCBS
| Professional | $161.94 | $190.52 | $190.52 | |
Cigna
| Facility | $154.96 | $154.96 | $154.96 | |
Cigna
| Professional | $164.25 | $201.44 | $232.43 | |
United
| Professional | $164.25 | $164.25 | $164.25 |