| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.06 | $140.06 | $140.06 | |
Aetna
| Professional | $71.13 | $140.06 | $140.06 | |
BCBS
| Professional | $124.02 | $124.02 | $124.02 | |
Cigna
| Facility | $97.54 | $97.54 | $150.80 | |
Cigna
| Professional | $71.20 | $97.54 | $132.05 | |
United
| Professional | $48.41 | $83.12 | $114.86 |