| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $123.03 | $147.91 | $288.40 | |
BCBS
| Professional | $218.78 | $269.15 | $562.34 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Professional | $74.13 | $83.18 | $380.19 | |
United
| Facility | $173.78 | $173.78 | $173.78 | |
United
| Professional | $74.13 | $74.13 | $173.78 |