| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.91 | $176.91 | $176.91 | |
Aetna
| Professional | $83.75 | $176.91 | $176.91 | |
BCBS
| Professional | $146.00 | $146.00 | $146.00 | |
Cigna
| Facility | $112.22 | $112.22 | $195.15 | |
Cigna
| Professional | $81.92 | $81.92 | $226.13 | |
United
| Professional | $57.99 | $86.98 | $134.72 |