| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.36 | $212.36 | $212.36 | |
Aetna
| Professional | $212.36 | $212.36 | $213.84 | |
BCBS
| Professional | $206.55 | $243.00 | $243.00 | |
Cigna
| Facility | $201.74 | $201.74 | $201.74 | |
Cigna
| Professional | $213.84 | $213.84 | $302.61 | |
United
| Professional | $213.84 | $213.84 | $213.84 |