| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.72 | $224.72 | $224.72 | |
Aetna
| Professional | $224.72 | $224.72 | $224.72 | |
BCBS
| Professional | $263.83 | $263.83 | $263.83 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $150.00 | $220.00 | $400.00 | |
United
| Professional | $129.24 | $219.56 | $257.66 |