| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Aetna
| Professional | $263.03 | $269.15 | $275.42 | |
BCBS
| Facility | $102.33 | $109.65 | $194.98 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $269.15 | $269.15 | $645.65 |