| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $562.34 | |
Aetna
| Professional | $95.50 | $295.12 | $295.12 | |
BCBS
| Facility | $234.42 | $501.19 | $1,023.29 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $134.90 | $134.90 | $134.90 | |
United
| Professional | $257.04 | $257.04 | $295.12 |