| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.80 | $326.80 | $326.80 | |
Aetna
| Professional | $307.58 | $319.11 | $326.80 | |
BCBS
| Professional | $320.39 | $320.39 | $320.39 | |
Cigna
| Facility | $326.80 | $326.80 | $326.80 | |
Cigna
| Professional | $326.80 | $326.80 | $326.80 | |
United
| Professional | $272.33 | $320.39 | $320.39 |