| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.45 | $176.45 | $176.45 | |
Aetna
| Professional | $83.53 | $176.45 | $176.45 | |
BCBS
| Professional | $102.00 | $102.00 | $102.00 | |
Cigna
| Facility | $129.63 | $129.63 | $194.59 | |
Cigna
| Professional | $94.64 | $94.64 | $225.75 | |
United
| Professional | $57.81 | $92.89 | $138.47 |