| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.59 | $208.59 | $208.59 | |
Aetna
| Professional | $119.70 | $208.59 | $208.59 | |
BCBS
| Professional | $272.00 | $272.00 | $272.00 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $217.00 | |
United
| Professional | $95.13 | $136.94 | $259.97 |