| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.03 | $221.03 | $221.03 | |
Aetna
| Professional | $104.63 | $163.34 | $221.03 | |
BCBS
| Professional | $182.40 | $182.40 | $182.40 | |
Cigna
| Facility | $126.23 | $126.23 | $183.91 | |
Cigna
| Professional | $92.15 | $126.23 | $181.65 | |
United
| Professional | $61.13 | $91.70 | $147.80 |