| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.20 | $185.20 | $185.20 | |
Aetna
| Professional | $182.98 | $185.20 | $185.20 | |
BCBS
| Professional | $231.50 | $287.00 | $593.00 | |
Cigna
| Facility | $370.56 | $370.56 | $370.56 | |
Cigna
| Professional | $87.44 | $301.45 | $398.05 | |
United
| Professional | $77.78 | $77.78 | $185.20 |