| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.97 | $156.97 | $156.97 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $172.37 | $172.37 | $172.37 | |
Cigna
| Professional | $172.37 | $172.37 | $172.37 | |
United
| Professional | $53.80 | $149.63 | $153.90 |