| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $190.55 | $190.55 | $190.55 | |
BCBS
| Professional | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $218.78 | $218.78 | $218.78 | |
United
| Facility | $173.78 | $181.97 | $204.17 | |
United
| Professional | $125.89 | $181.97 | $251.19 |