| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.33 | $297.33 | $297.33 | |
Aetna
| Professional | $297.33 | $297.33 | $477.69 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
United
| Professional | $300.25 | $339.28 | $349.80 |