| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.09 | $359.09 | $359.09 | |
Aetna
| Professional | $359.09 | $359.09 | $359.19 | |
BCBS
| Professional | $367.58 | $432.45 | $432.45 | |
Cigna
| Facility | $338.86 | $338.86 | $338.86 | |
Cigna
| Professional | $359.19 | $359.19 | $508.29 | |
United
| Professional | $359.19 | $359.19 | $359.19 |