| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.48 | $376.48 | $376.48 | |
Aetna
| Professional | $376.48 | $376.48 | $377.52 | |
BCBS
| Professional | $376.38 | $442.80 | $442.80 | |
Cigna
| Facility | $356.15 | $356.15 | $356.15 | |
Cigna
| Professional | $377.52 | $377.52 | $534.23 | |
United
| Professional | $377.52 | $377.52 | $420.26 |