| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.76 | $216.76 | $216.76 | |
Aetna
| Professional | $102.61 | $134.69 | $216.76 | |
BCBS
| Professional | $160.00 | $160.00 | $160.00 | |
Cigna
| Facility | $152.55 | $152.55 | $239.05 | |
Cigna
| Professional | $111.36 | $152.55 | $209.32 | |
United
| Professional | $71.02 | $106.53 | $165.07 |