| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.72 | $180.72 | $180.72 | |
Aetna
| Professional | $176.47 | $176.47 | $180.72 | |
BCBS
| Facility | $187.51 | $187.51 | $187.51 | |
BCBS
| Professional | $187.51 | $187.51 | $187.51 | |
Cigna
| Facility | $48.09 | $48.09 | $187.10 | |
United
| Professional | $180.30 | $180.30 | $191.73 |