| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.26 | $230.26 | $230.26 | |
Aetna
| Professional | $230.15 | $230.15 | $230.26 | |
BCBS
| Professional | $228.07 | $268.32 | $268.32 | |
Cigna
| Facility | $217.13 | $217.13 | $217.13 | |
Cigna
| Professional | $230.15 | $230.15 | $325.69 | |
United
| Professional | $230.15 | $230.15 | $230.15 |