| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.75 | $140.75 | $140.75 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $161.82 | $161.82 | $161.82 | |
Cigna
| Professional | $161.82 | $161.82 | $161.82 | |
United
| Professional | $126.33 | $144.47 | $173.08 |