| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.67 | $271.67 | $271.67 | |
Aetna
| Professional | $128.60 | $271.67 | $271.67 | |
BCBS
| Professional | $224.20 | $224.20 | $224.20 | |
Cigna
| Facility | $188.22 | $188.22 | $301.22 | |
Cigna
| Professional | $137.40 | $188.22 | $263.76 | |
United
| Facility | $204.62 | $204.62 | $204.62 | |
United
| Professional | $100.18 | $148.94 | $226.37 |