| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.00 | $159.00 | $159.00 | |
Aetna
| Professional | $75.27 | $159.00 | $159.00 | |
BCBS
| Professional | $131.21 | $131.21 | $131.21 | |
Cigna
| Facility | $110.16 | $110.16 | $176.29 | |
Cigna
| Professional | $80.42 | $110.16 | $154.37 | |
United
| Professional | $58.64 | $87.95 | $132.49 |