| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.25 | $189.25 | $189.25 | |
Aetna
| Professional | $96.12 | $189.25 | $189.25 | |
BCBS
| Professional | $167.57 | $167.57 | $167.57 | |
Cigna
| Facility | $194.51 | $194.51 | $273.82 | |
Cigna
| Professional | $141.99 | $194.51 | $239.76 | |
United
| Professional | $74.88 | $112.32 | $173.08 |