| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.88 | $203.88 | $203.88 | |
Aetna
| Professional | $103.55 | $203.88 | $203.88 | |
BCBS
| Professional | $180.52 | $180.52 | $180.52 | |
Cigna
| Facility | $170.89 | $170.89 | $264.14 | |
Cigna
| Professional | $124.75 | $170.89 | $231.30 | |
United
| Professional | $67.31 | $121.00 | $161.22 |