| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.00 | $280.00 | $280.00 | |
Aetna
| Professional | $276.64 | $280.00 | $280.00 | |
BCBS
| Professional | $350.00 | $434.00 | $896.00 | |
Cigna
| Facility | $559.69 | $559.69 | $559.69 | |
Cigna
| Professional | $455.37 | $455.37 | $602.12 | |
United
| Professional | $117.60 | $117.60 | $207.20 |