| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.50 | $862.50 | $862.50 | |
Aetna
| Professional | $105.00 | $111.00 | $123.00 | |
BCBS
| Facility | $292.98 | $312.52 | $347.25 | |
Cigna
| Facility | $398.12 | $398.12 | $398.12 | |
Cigna
| Professional | $87.75 | $87.75 | $87.75 | |
United
| Professional | $63.00 | $150.00 | $240.00 |