| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.20 | $212.20 | $212.20 | |
Aetna
| Professional | $203.58 | $203.58 | $212.20 | |
BCBS
| Professional | $203.41 | $239.31 | $239.31 | |
Cigna
| Facility | $192.06 | $192.06 | $192.06 | |
Cigna
| Professional | $203.58 | $203.58 | $288.08 | |
United
| Professional | $203.58 | $203.58 | $226.63 |