| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $380.19 | $380.19 | |
Aetna
| Professional | $199.53 | $199.53 | $338.84 | |
BCBS
| Facility | $213.80 | $295.12 | $812.83 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $234.42 | $234.42 | $234.42 |