| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.11 | $235.11 | $235.11 | |
Aetna
| Professional | $119.41 | $235.11 | $235.11 | |
BCBS
| Professional | $208.17 | $208.17 | $208.17 | |
Cigna
| Facility | $174.77 | $174.77 | $279.69 | |
Cigna
| Professional | $127.58 | $174.77 | $244.91 | |
United
| Professional | $93.02 | $139.54 | $215.02 |