| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.80 | $306.80 | $306.80 | |
Aetna
| Professional | $306.80 | $306.80 | $308.68 | |
BCBS
| Professional | $307.43 | $361.68 | $361.68 | |
Cigna
| Facility | $291.20 | $291.20 | $291.20 | |
Cigna
| Professional | $308.68 | $308.68 | $436.82 | |
United
| Professional | $308.68 | $308.68 | $308.68 |