| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.35 | $168.35 | $168.35 | |
Aetna
| Professional | $85.50 | $168.35 | $168.35 | |
BCBS
| Professional | $161.32 | $161.32 | $161.32 | |
Cigna
| Facility | $120.62 | $120.62 | $199.17 | |
Cigna
| Professional | $88.05 | $120.62 | $174.40 | |
United
| Professional | $59.18 | $99.91 | $150.35 |