| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.39 | $183.39 | $183.39 | |
Aetna
| Professional | $86.81 | $113.95 | $183.39 | |
BCBS
| Professional | $125.10 | $125.10 | $125.10 | |
Cigna
| Facility | $112.67 | $112.67 | $202.19 | |
Cigna
| Professional | $82.25 | $112.67 | $177.05 | |
United
| Professional | $59.97 | $89.95 | $139.65 |