| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.47 | $148.47 | $148.47 | |
Aetna
| Professional | $72.00 | $148.47 | $148.47 | |
BCBS
| Professional | $134.88 | $134.88 | $134.88 | |
Cigna
| Facility | $52.17 | $52.17 | $113.35 | |
Cigna
| Professional | $38.08 | $52.17 | $158.16 | |
United
| Professional | $63.35 | $95.03 | $156.97 |