| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.50 | $760.50 | $760.50 | |
Aetna
| Professional | $198.90 | $198.90 | $198.90 | |
BCBS
| Facility | $209.19 | $275.67 | $418.62 | |
Cigna
| Facility | $206.70 | $206.70 | $206.70 | |
Cigna
| Professional | $206.70 | $206.70 | $206.70 | |
United
| Professional | $234.00 | $234.00 | $234.00 |