| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.50 | $472.50 | $652.50 | |
Aetna
| Professional | $225.00 | $326.25 | $472.50 | |
BCBS
| Professional | $337.50 | $450.00 | $506.25 | |
Cigna
| Facility | $243.75 | $483.62 | $703.36 | |
United
| Professional | $157.50 | $225.00 | $375.00 |