| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.33 | $263.89 | $263.89 | |
Aetna
| Professional | $180.33 | $186.93 | $263.89 | |
BCBS
| Facility | $164.94 | $164.94 | $164.94 | |
Cigna
| Facility | $6.96 | $186.93 | $186.93 | |
Cigna
| Professional | $186.93 | $186.93 | $186.93 | |
United
| Professional | $175.93 | $183.26 | $234.57 |