| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.88 | $408.12 | $408.12 | |
Aetna
| Professional | $278.88 | $282.27 | $408.12 | |
BCBS
| Facility | $296.99 | $296.99 | $297.00 | |
Cigna
| Facility | $176.53 | $289.08 | $289.08 | |
Cigna
| Professional | $289.08 | $289.08 | $289.08 | |
United
| Professional | $272.08 | $283.42 | $368.45 |