| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.64 | $438.50 | $438.50 | |
Aetna
| Professional | $299.64 | $310.61 | $438.50 | |
BCBS
| Facility | $268.47 | $268.47 | $268.47 | |
Cigna
| Facility | $121.02 | $310.61 | $310.61 | |
Cigna
| Professional | $310.61 | $310.61 | $310.61 | |
United
| Professional | $286.37 | $298.30 | $448.58 |