| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.34 | $211.34 | $211.34 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $232.20 | $232.20 | $232.20 | |
Cigna
| Professional | $232.20 | $232.20 | $232.20 | |
United
| Professional | $207.32 | $207.32 | $248.63 |