| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.88 | $173.88 | $173.88 | |
Aetna
| Professional | $82.31 | $133.46 | $173.88 | |
BCBS
| Professional | $143.50 | $143.50 | $143.50 | |
Cigna
| Facility | $138.33 | $138.33 | $217.73 | |
Cigna
| Professional | $100.98 | $100.98 | $252.38 | |
United
| Professional | $64.12 | $96.19 | $144.88 |