| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.32 | $294.69 | $294.69 | |
Aetna
| Professional | $294.69 | $294.69 | $334.23 | |
BCBS
| Professional | $294.69 | $294.69 | $294.69 | |
Cigna
| Facility | $294.69 | $294.69 | $294.69 | |
Cigna
| Professional | $123.99 | $294.69 | $294.69 | |
United
| Professional | $294.69 | $294.69 | $294.69 |