| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.94 | $405.94 | $405.94 | |
Aetna
| Professional | $243.56 | $405.94 | $405.94 | |
BCBS
| Facility | $377.21 | $377.21 | $414.94 | |
BCBS
| Professional | $359.25 | $359.25 | $359.25 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
United
| Professional | $154.19 | $385.47 | $514.30 |