| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.26 | $355.26 | $355.26 | |
Aetna
| Professional | $213.16 | $355.26 | $355.26 | |
BCBS
| Facility | $330.12 | $330.12 | $363.13 | |
BCBS
| Professional | $314.39 | $314.39 | $314.39 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
United
| Professional | $134.94 | $337.35 | $453.27 |