| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $186.21 | $269.15 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Professional | $181.97 | $190.55 | $218.78 |