| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $26.92 | |
Aetna
| Professional | $26.92 | $43.65 | $56.23 | |
BCBS
| Facility | $125.89 | $125.89 | $173.78 | |
Cigna
| Facility | $8.13 | $8.13 | $8.13 | |
United
| Facility | $162.18 | $208.93 | $398.11 | |
United
| Professional | $41.69 | $54.95 | $89.13 |