| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.41 | $164.41 | $164.41 | |
Aetna
| Professional | $77.83 | $164.41 | $164.41 | |
BCBS
| Professional | $135.68 | $135.68 | $135.68 | |
Cigna
| Facility | $111.95 | $111.95 | $228.81 | |
Cigna
| Professional | $81.72 | $111.95 | $200.36 | |
United
| Professional | $59.59 | $89.38 | $134.63 |