| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.03 | $183.03 | $183.03 | |
Aetna
| Professional | $92.96 | $183.03 | $183.03 | |
BCBS
| Professional | $144.27 | $144.27 | $144.27 | |
Cigna
| Facility | $140.85 | $140.85 | $217.74 | |
Cigna
| Professional | $102.82 | $102.82 | $252.38 | |
United
| Professional | $72.42 | $108.63 | $167.39 |