| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.40 | $175.40 | $175.40 | |
Aetna
| Professional | $173.29 | $175.40 | $175.40 | |
BCBS
| Professional | $219.25 | $272.00 | $561.00 | |
Cigna
| Facility | $351.02 | $351.02 | $351.02 | |
Cigna
| Professional | $82.85 | $285.47 | $377.10 | |
United
| Professional | $73.67 | $73.67 | $175.40 |