| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.25 | $193.25 | $193.25 | |
Aetna
| Professional | $190.93 | $193.25 | $193.25 | |
BCBS
| Professional | $241.56 | $300.00 | $618.00 | |
Cigna
| Facility | $386.62 | $386.62 | $386.62 | |
Cigna
| Professional | $94.24 | $314.23 | $429.86 | |
United
| Professional | $81.17 | $81.17 | $193.25 |