| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.90 | $241.90 | $241.90 | |
Aetna
| Professional | $238.99 | $241.90 | $241.90 | |
BCBS
| Professional | $302.38 | $375.00 | $774.00 | |
Cigna
| Facility | $483.62 | $483.62 | $483.62 | |
Cigna
| Professional | $141.19 | $393.59 | $578.07 | |
United
| Professional | $101.60 | $125.43 | $298.64 |