| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.79 | $256.79 | $256.79 | |
Aetna
| Professional | $138.44 | $256.79 | $256.79 | |
BCBS
| Professional | $221.72 | $221.72 | $221.72 | |
Cigna
| Facility | $214.95 | $214.95 | $224.35 | |
Cigna
| Professional | $156.91 | $214.95 | $269.16 | |
United
| Professional | $107.85 | $161.78 | $255.89 |