| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.62 | $206.62 | $206.62 | |
Aetna
| Professional | $206.59 | $206.59 | $206.62 | |
BCBS
| Professional | $202.65 | $238.41 | $238.41 | |
Cigna
| Facility | $194.90 | $194.90 | $194.90 | |
Cigna
| Professional | $206.59 | $206.59 | $292.33 | |
United
| Professional | $206.59 | $206.59 | $206.59 |