| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.61 | $156.61 | $156.61 | |
Aetna
| Professional | $74.13 | $156.61 | $156.61 | |
BCBS
| Professional | $129.24 | $129.24 | $129.24 | |
Cigna
| Facility | $116.46 | $116.46 | $172.72 | |
Cigna
| Professional | $85.02 | $116.46 | $151.24 | |
United
| Professional | $51.32 | $76.97 | $122.90 |