| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.88 | $282.88 | $282.88 | |
Aetna
| Professional | $279.49 | $282.88 | $282.88 | |
BCBS
| Professional | $353.60 | $438.00 | $905.00 | |
Cigna
| Facility | $565.97 | $565.97 | $565.97 | |
Cigna
| Professional | $133.54 | $460.17 | $608.33 | |
United
| Professional | $118.81 | $118.81 | $282.88 |