| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.02 | $255.02 | $352.18 | |
Aetna
| Professional | $121.44 | $196.33 | $255.02 | |
BCBS
| Professional | $182.16 | $303.60 | $303.60 | |
Cigna
| Facility | $131.56 | $261.20 | $379.72 | |
Cigna
| Professional | $82.70 | $174.22 | $304.35 | |
United
| Professional | $85.01 | $121.44 | $190.68 |