| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.10 | $136.10 | $136.10 | |
Aetna
| Professional | $78.84 | $136.10 | $136.10 | |
BCBS
| Professional | $138.18 | $138.18 | $138.18 | |
Cigna
| Facility | $103.99 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $128.79 | $144.91 | |
United
| Professional | $57.99 | $88.70 | $136.46 |