| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.50 | $202.50 | $202.50 | |
Aetna
| Professional | $95.86 | $200.53 | $202.50 | |
BCBS
| Professional | $143.30 | $143.30 | $143.30 | |
Cigna
| Facility | $125.61 | $125.61 | $228.63 | |
Cigna
| Professional | $91.70 | $91.70 | $265.13 | |
United
| Professional | $66.86 | $100.29 | $154.21 |