| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.21 | $343.21 | $343.21 | |
Aetna
| Professional | $184.70 | $343.21 | $877.20 | |
BCBS
| Facility | $403.39 | $489.53 | $658.57 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
United
| Professional | $171.26 | $234.60 | $297.50 |