| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.74 | $216.74 | $216.74 | |
Aetna
| Professional | $216.90 | $216.90 | $238.59 | |
BCBS
| Professional | $216.67 | $254.90 | $254.90 | |
Cigna
| Facility | $204.63 | $204.63 | $204.63 | |
Cigna
| Professional | $216.90 | $266.01 | $306.94 | |
United
| Professional | $216.90 | $216.90 | $216.90 |