| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.70 | $219.70 | $219.70 | |
Aetna
| Professional | $104.00 | $217.57 | $219.70 | |
BCBS
| Professional | $181.31 | $181.31 | $181.31 | |
Cigna
| Facility | $135.22 | $135.22 | $242.23 | |
Cigna
| Professional | $98.72 | $135.22 | $231.86 | |
United
| Professional | $71.98 | $107.97 | $167.30 |