| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.04 | $80.04 | $80.04 | |
Aetna
| Professional | $80.04 | $87.24 | $88.04 | |
BCBS
| Professional | $500.65 | $589.00 | $589.00 | |
Cigna
| Facility | $75.51 | $75.51 | $75.51 | |
Cigna
| Professional | $80.04 | $113.26 | $113.26 | |
United
| Professional | $80.04 | $80.04 | $80.04 |