| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.53 | $255.53 | $255.53 | |
Aetna
| Professional | $255.53 | $255.53 | $255.53 | |
BCBS
| Professional | $316.61 | $316.61 | $316.61 | |
Cigna
| Facility | $245.00 | $245.00 | $245.00 | |
Cigna
| Professional | $250.00 | $354.00 | $525.00 | |
United
| Professional | $245.72 | $263.47 | $309.19 |