| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.88 | $146.88 | $146.88 | |
Aetna
| Professional | $69.53 | $146.88 | $146.88 | |
BCBS
| Professional | $116.75 | $116.75 | $116.75 | |
Cigna
| Facility | $117.36 | $117.36 | $189.31 | |
Cigna
| Professional | $85.67 | $117.36 | $165.77 | |
United
| Professional | $50.20 | $75.31 | $113.43 |