| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.49 | $174.49 | $174.49 | |
Aetna
| Professional | $75.13 | $174.49 | $174.49 | |
BCBS
| Professional | $112.80 | $112.80 | $112.80 | |
Cigna
| Facility | $107.42 | $107.42 | $192.46 | |
Cigna
| Professional | $78.42 | $107.42 | $168.53 | |
United
| Facility | $63.45 | $85.00 | $102.02 | |
United
| Professional | $57.18 | $85.76 | $136.93 |