| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.72 | $414.72 | $414.72 | |
Aetna
| Professional | $274.89 | $414.72 | $414.72 | |
BCBS
| Professional | $375.90 | $375.90 | $375.90 | |
Cigna
| Facility | $338.00 | $338.00 | $338.00 | |
Cigna
| Professional | $41.13 | $338.00 | $618.75 | |
United
| Professional | $133.53 | $199.90 | $352.32 |