| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.42 | $671.42 | $671.42 | |
Aetna
| Professional | $206.59 | $206.59 | $214.85 | |
BCBS
| Facility | $202.65 | $206.62 | $218.31 | |
BCBS
| Professional | $206.59 | $206.59 | $206.59 | |
Cigna
| Facility | $194.90 | $206.59 | $206.59 | |
Cigna
| Professional | $206.59 | $206.59 | $206.59 | |
United
| Professional | $206.59 | $206.59 | $206.59 |