| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.06 | $126.06 | $126.06 | |
Aetna
| Professional | $123.80 | $134.94 | $136.18 | |
BCBS
| Professional | $229.50 | $270.00 | $270.00 | |
Cigna
| Facility | $116.79 | $116.79 | $116.79 | |
Cigna
| Professional | $123.80 | $175.19 | $175.19 | |
United
| Professional | $123.80 | $123.80 | $123.80 |