| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $194.98 | |
Aetna
| Professional | $134.90 | $162.18 | $316.23 | |
BCBS
| Professional | $239.88 | $302.00 | $616.60 | |
Cigna
| Facility | $389.05 | $389.05 | $389.05 | |
Cigna
| Professional | $83.18 | $93.33 | $426.58 | |
United
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Professional | $81.28 | $81.28 | $194.98 |