| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.61 | $171.61 | $171.61 | |
Aetna
| Professional | $87.16 | $171.61 | $171.61 | |
BCBS
| Professional | $164.45 | $164.45 | $164.45 | |
Cigna
| Facility | $170.15 | $170.15 | $241.11 | |
Cigna
| Professional | $124.21 | $170.15 | $211.12 | |
United
| Professional | $67.90 | $101.84 | $162.63 |