| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.20 | $182.20 | $182.20 | |
Aetna
| Professional | $86.25 | $182.20 | $182.20 | |
BCBS
| Professional | $150.36 | $150.36 | $150.36 | |
Cigna
| Facility | $132.63 | $132.63 | $187.01 | |
Cigna
| Professional | $96.83 | $132.63 | $163.75 | |
United
| Professional | $50.39 | $83.92 | $121.83 |