| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.35 | $301.35 | $301.35 | |
Aetna
| Professional | $195.88 | $195.88 | $195.88 | |
BCBS
| Professional | $376.69 | $467.00 | $964.00 | |
Cigna
| Facility | $602.95 | $602.95 | $602.95 | |
Cigna
| Professional | $142.22 | $489.99 | $647.90 | |
United
| Professional | $126.57 | $126.57 | $301.35 |