| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.32 | $173.32 | $173.32 | |
Aetna
| Professional | $82.04 | $173.32 | $173.32 | |
BCBS
| Professional | $143.03 | $143.03 | $143.03 | |
Cigna
| Facility | $124.31 | $124.31 | $192.17 | |
Cigna
| Professional | $90.75 | $90.75 | $222.75 | |
United
| Professional | $63.92 | $95.02 | $144.41 |