| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.56 | $165.56 | $165.56 | |
Aetna
| Professional | $40.75 | $43.30 | $43.30 | |
BCBS
| Facility | $330.73 | $330.73 | $367.48 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
United
| Professional | $40.53 | $40.53 | $43.57 |