| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.16 | $201.39 | $212.34 | |
Aetna
| Professional | $196.16 | $200.00 | $214.36 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
United
| Professional | $179.95 | $243.29 | $347.27 |