| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.81 | $304.81 | $304.81 | |
Aetna
| Professional | $301.16 | $304.81 | $304.81 | |
BCBS
| Professional | $381.01 | $472.00 | $975.00 | |
Cigna
| Facility | $609.92 | $609.92 | $609.92 | |
Cigna
| Professional | $495.85 | $495.85 | $655.66 | |
United
| Professional | $128.02 | $128.02 | $304.81 |