| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.66 | $138.66 | $138.66 | |
Aetna
| Professional | $139.21 | $139.21 | $153.13 | |
BCBS
| Professional | $136.99 | $161.16 | $161.16 | |
Cigna
| Facility | $131.33 | $131.33 | $131.33 | |
Cigna
| Professional | $139.21 | $170.73 | $197.00 | |
United
| Professional | $139.21 | $139.21 | $139.21 |