| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.96 | $168.96 | $168.96 | |
Aetna
| Professional | $85.82 | $168.96 | $168.96 | |
BCBS
| Professional | $133.18 | $133.18 | $133.18 | |
Cigna
| Facility | $122.31 | $122.31 | $195.73 | |
Cigna
| Professional | $89.29 | $122.31 | $171.39 | |
United
| Professional | $65.09 | $100.28 | $155.93 |