| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.00 | $120.00 | $120.00 | |
Aetna
| Professional | $118.56 | $120.00 | $120.00 | |
BCBS
| Professional | $150.00 | $186.00 | $384.00 | |
Cigna
| Facility | $240.06 | $240.06 | $240.06 | |
Cigna
| Professional | $194.93 | $194.93 | $258.38 | |
United
| Professional | $50.40 | $50.40 | $120.00 |