| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $239.88 | |
Aetna
| Professional | $213.80 | $213.80 | $269.15 | |
BCBS
| Facility | $181.97 | $181.97 | $204.17 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
United
| Professional | $218.78 | $245.47 | $257.04 |