| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $147.91 | $151.36 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
United
| Professional | $0.50 | $147.91 | $186.21 |