| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $281.84 | $281.84 | |
Aetna
| Professional | $39.81 | $42.66 | $50.12 | |
BCBS
| Facility | $0.02 | $131.83 | $147.91 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $26.30 | $37.15 | $89.13 |