| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.40 | $202.40 | $202.40 | |
Aetna
| Professional | $199.97 | $202.40 | $202.40 | |
BCBS
| Professional | $253.00 | $314.00 | $648.00 | |
Cigna
| Facility | $404.76 | $404.76 | $404.76 | |
Cigna
| Professional | $95.60 | $329.15 | $435.29 | |
United
| Professional | $85.01 | $85.01 | $202.40 |