| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.19 | $225.19 | $225.19 | |
Aetna
| Professional | $225.11 | $225.11 | $225.19 | |
BCBS
| Professional | $222.09 | $261.27 | $261.27 | |
Cigna
| Facility | $212.37 | $212.37 | $212.37 | |
Cigna
| Professional | $225.11 | $225.11 | $318.55 | |
United
| Professional | $225.11 | $225.11 | $225.11 |