| 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 | $116.26 | $116.26 | $116.26 | |
Cigna
| Facility | $140.54 | $140.54 | $209.91 | |
Cigna
| Professional | $102.59 | $102.59 | $243.38 | |
United
| Professional | $62.38 | $93.57 | $144.96 |