| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.26 | $114.26 | $114.26 | |
Aetna
| Professional | $65.56 | $114.26 | $114.26 | |
BCBS
| Professional | $520.00 | $520.00 | $520.00 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $56.50 | $58.20 | |
United
| Professional | $52.11 | $75.00 | $137.50 |