| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.86 | $186.86 | $186.86 | |
Aetna
| Professional | $94.91 | $186.86 | $186.86 | |
BCBS
| Professional | $165.45 | $165.45 | $165.45 | |
Cigna
| Facility | $182.31 | $182.31 | $281.83 | |
Cigna
| Professional | $133.09 | $182.31 | $246.79 | |
United
| Professional | $73.94 | $110.90 | $170.90 |