| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $257.04 | |
Aetna
| Professional | $213.80 | $213.80 | $257.04 | |
BCBS
| Facility | $177.83 | $177.83 | $177.83 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $213.80 | $213.80 | $213.80 | |
United
| Facility | $213.80 | $213.80 | $223.87 | |
United
| Professional | $204.17 | $213.80 | $331.13 |