| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.36 | $190.36 | $190.36 | |
Aetna
| Professional | $90.11 | $190.36 | $190.36 | |
BCBS
| Professional | $157.10 | $157.10 | $157.10 | |
Cigna
| Facility | $149.11 | $149.11 | $209.91 | |
Cigna
| Professional | $108.85 | $149.11 | $183.81 | |
United
| Professional | $62.38 | $93.57 | $147.99 |