| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.61 | $147.61 | $147.61 | |
Aetna
| Professional | $74.97 | $147.61 | $147.61 | |
BCBS
| Professional | $130.69 | $130.69 | $130.69 | |
Cigna
| Facility | $113.00 | $113.00 | $234.13 | |
Cigna
| Professional | $82.49 | $113.00 | $205.01 | |
United
| Professional | $58.40 | $87.61 | $135.00 |