| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.09 | $488.09 | $488.09 | |
Aetna
| Professional | $120.14 | $120.14 | $127.65 | |
BCBS
| Facility | $135.08 | $135.08 | $150.09 | |
Cigna
| Facility | $63.43 | $63.43 | $63.43 | |
Cigna
| Professional | $63.43 | $63.43 | $63.43 | |
United
| Professional | $125.15 | $125.15 | $125.15 |