| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.38 | $189.38 | $189.38 | |
Aetna
| Professional | $89.64 | $189.38 | $189.38 | |
BCBS
| Professional | $156.28 | $156.28 | $156.28 | |
Cigna
| Facility | $139.66 | $139.66 | $215.88 | |
Cigna
| Professional | $101.95 | $139.66 | $189.03 | |
United
| Professional | $69.84 | $104.75 | $157.80 |