| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.29 | $144.29 | $144.29 | |
Aetna
| Professional | $138.74 | $138.74 | $144.29 | |
BCBS
| Facility | $251.85 | $321.07 | $356.74 | |
Cigna
| Facility | $130.88 | $138.74 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
United
| Professional | $138.74 | $138.74 | $138.74 |