| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $112.20 | $112.20 | $131.83 | |
BCBS
| Professional | $831.76 | $977.24 | $977.24 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $112.20 | $138.04 | $158.49 | |
United
| Professional | $125.89 | $177.83 | $812.83 |