| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.12 | $233.12 | $233.12 | |
Aetna
| Professional | $233.12 | $233.12 | $233.12 | |
BCBS
| Professional | $422.15 | $422.15 | $422.15 | |
Cigna
| Facility | $286.00 | $286.00 | $286.00 | |
Cigna
| Professional | $150.00 | $363.00 | $400.00 | |
United
| Professional | $327.63 | $412.25 | $412.25 |