| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.64 | $173.64 | $173.64 | |
Aetna
| Professional | $238.46 | $238.46 | $262.30 | |
BCBS
| Professional | $765.00 | $900.00 | $900.00 | |
Cigna
| Facility | $224.96 | $224.96 | $224.96 | |
Cigna
| Professional | $238.46 | $292.45 | $337.44 | |
United
| Professional | $238.46 | $238.46 | $238.46 |