| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.84 | $164.84 | $164.84 | |
Aetna
| Professional | $161.62 | $176.17 | $177.79 | |
BCBS
| Professional | $379.65 | $446.65 | $446.65 | |
Cigna
| Facility | $152.47 | $152.47 | $152.47 | |
Cigna
| Professional | $161.62 | $228.71 | $228.71 | |
United
| Professional | $161.62 | $161.62 | $161.62 |