| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.35 | $233.35 | $322.25 | |
Aetna
| Professional | $111.12 | $179.64 | $233.35 | |
BCBS
| Professional | $166.68 | $277.80 | $277.80 | |
Cigna
| Facility | $120.38 | $239.10 | $347.29 | |
Cigna
| Professional | $75.63 | $163.43 | $278.31 | |
United
| Facility | $166.68 | $166.68 | $166.68 | |
United
| Professional | $77.78 | $111.12 | $185.20 |