| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.32 | $157.32 | $157.32 | |
Aetna
| Professional | $85.68 | $157.32 | $157.32 | |
BCBS
| Professional | $160.00 | $160.00 | $160.00 | |
Cigna
| Facility | $119.94 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $133.72 | $154.31 | |
United
| Professional | $65.12 | $97.68 | $155.97 |