| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.25 | $454.25 | $454.25 | |
Aetna
| Professional | $55.30 | $58.46 | $64.78 | |
BCBS
| Facility | $154.31 | $164.60 | $182.89 | |
Cigna
| Professional | $63.20 | $63.20 | $63.20 | |
United
| Professional | $33.18 | $47.40 | $113.94 |