| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.56 | $191.56 | $191.56 | |
Aetna
| Professional | $47.15 | $50.10 | $50.10 | |
BCBS
| Facility | $101.82 | $101.82 | $113.13 | |
Cigna
| Facility | $52.07 | $52.07 | $52.07 | |
Cigna
| Professional | $52.07 | $52.07 | $52.07 | |
United
| Professional | $58.94 | $58.94 | $63.60 |