| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.37 | $119.37 | $119.37 | |
Aetna
| Professional | $119.37 | $119.37 | $129.55 | |
BCBS
| Facility | $603.22 | $732.04 | $984.82 | |
Cigna
| Facility | $128.69 | $128.69 | $128.69 | |
Cigna
| Professional | $128.69 | $128.69 | $128.69 | |
United
| Professional | $259.31 | $259.31 | $311.17 |