| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $141.25 | $173.78 | $331.13 | |
BCBS
| Professional | $251.19 | $316.23 | $645.65 | |
Cigna
| Facility | $407.38 | $407.38 | $407.38 | |
Cigna
| Professional | $85.11 | $95.50 | $436.52 | |
United
| Facility | $204.17 | $204.17 | $204.17 | |
United
| Professional | $85.11 | $85.11 | $204.17 |