| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.29 | $175.29 | $175.29 | |
Aetna
| Professional | $82.98 | $175.29 | $175.29 | |
BCBS
| Professional | $144.65 | $144.65 | $144.65 | |
Cigna
| Facility | $119.29 | $119.29 | $254.53 | |
Cigna
| Professional | $87.08 | $87.08 | $295.13 | |
United
| Professional | $63.49 | $95.24 | $150.63 |