| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $204.17 | $204.17 | $346.74 | |
BCBS
| Professional | $199.53 | $234.42 | $234.42 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $204.17 | $204.17 | $288.40 | |
United
| Facility | $81.28 | $199.53 | $407.38 | |
United
| Professional | $81.28 | $204.17 | $204.17 |