| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $80.39 | $169.82 | $169.82 | |
BCBS
| Professional | $140.13 | $140.13 | $140.13 | |
Cigna
| Facility | $110.15 | $110.15 | $176.27 | |
Cigna
| Professional | $80.41 | $110.15 | $154.35 | |
United
| Professional | $58.62 | $87.94 | $140.41 |