| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $97.72 | $97.72 | $117.49 | |
BCBS
| Professional | $239.88 | $281.84 | $281.84 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $97.72 | $97.72 | $138.04 | |
United
| Professional | $93.33 | $125.89 | $234.42 |