| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $275.42 | |
Aetna
| Professional | $190.55 | $234.42 | $457.09 | |
BCBS
| Professional | $346.74 | $426.58 | $870.96 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $114.82 | $128.82 | $588.84 | |
United
| Facility | $275.42 | $275.42 | $275.42 | |
United
| Professional | $114.82 | $114.82 | $275.42 |