| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.72 | $132.72 | $132.72 | |
Aetna
| Professional | $62.83 | $132.72 | $132.72 | |
BCBS
| Professional | $87.03 | $87.03 | $87.03 | |
Cigna
| Facility | $81.70 | $81.70 | $146.37 | |
Cigna
| Professional | $59.64 | $81.70 | $128.16 | |
United
| Professional | $43.49 | $65.23 | $104.15 |