| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.63 | $139.63 | $139.63 | |
Aetna
| Professional | $66.09 | $86.76 | $139.63 | |
BCBS
| Professional | $99.36 | $99.36 | $99.36 | |
Cigna
| Facility | $81.70 | $86.88 | $135.49 | |
Cigna
| Professional | $63.42 | $86.88 | $118.64 | |
United
| Professional | $45.06 | $67.59 | $103.43 |