| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.98 | $199.53 | $239.88 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Professional | $125.89 | $208.93 | $218.78 |