| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.75 | $189.75 | $189.75 | |
Aetna
| Professional | $189.75 | $189.75 | $193.76 | |
BCBS
| Professional | $190.18 | $223.74 | $223.74 | |
Cigna
| Facility | $182.79 | $182.79 | $182.79 | |
Cigna
| Professional | $193.76 | $193.76 | $274.19 | |
United
| Professional | $193.76 | $193.76 | $193.76 |