| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.12 | $287.12 | $287.12 | |
Aetna
| Professional | $135.91 | $186.86 | $287.12 | |
BCBS
| Professional | $186.91 | $186.91 | $186.91 | |
Cigna
| Facility | $176.75 | $176.75 | $316.64 | |
Cigna
| Professional | $129.03 | $176.75 | $303.01 | |
United
| Professional | $94.08 | $141.11 | $218.64 |