| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
United
| Professional | $300.25 | $300.25 | $349.80 |