| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Aetna
| Professional | $197.60 | $200.00 | $200.00 | |
BCBS
| Professional | $250.00 | $310.00 | $640.00 | |
Cigna
| Facility | $399.87 | $399.87 | $399.87 | |
Cigna
| Professional | $325.42 | $325.42 | $429.86 | |
United
| Professional | $84.00 | $84.00 | $200.00 |