| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.68 | $208.68 | $208.68 | |
Aetna
| Professional | $98.78 | $208.68 | $208.68 | |
BCBS
| Professional | $172.21 | $172.21 | $172.21 | |
Cigna
| Facility | $166.23 | $166.23 | $256.98 | |
Cigna
| Professional | $121.35 | $166.23 | $225.02 | |
United
| Professional | $76.95 | $115.43 | $173.88 |