| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.27 | $189.27 | $189.27 | |
Aetna
| Professional | $89.59 | $189.27 | $189.27 | |
BCBS
| Professional | $156.19 | $156.19 | $156.19 | |
Cigna
| Facility | $147.05 | $147.05 | $208.74 | |
Cigna
| Professional | $107.35 | $107.35 | $241.88 | |
United
| Professional | $62.40 | $96.80 | $141.00 |