| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $127.55 | |
Aetna
| Professional | $145.49 | $158.58 | $160.04 | |
BCBS
| Professional | $183.60 | $216.00 | $216.00 | |
Cigna
| Facility | $137.25 | $137.25 | $137.25 | |
Cigna
| Professional | $145.49 | $205.88 | $205.88 | |
United
| Professional | $145.49 | $145.49 | $145.49 |