| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $524.81 | |
Aetna
| Professional | $354.81 | $363.08 | $524.81 | |
BCBS
| Facility | $83.18 | $83.18 | $91.20 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $354.81 | $407.38 | $616.60 |