| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $112.20 | |
Aetna
| Professional | $112.20 | $218.78 | $478.63 | |
BCBS
| Professional | $489.78 | $575.44 | $575.44 | |
Cigna
| Facility | $104.71 | $104.71 | $104.71 | |
Cigna
| Professional | $112.20 | $112.20 | $158.49 | |
United
| Facility | $114.82 | $114.82 | $251.19 | |
United
| Professional | $112.20 | $112.20 | $112.20 |