| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $338.84 | $338.84 | |
Aetna
| Professional | $338.84 | $338.84 | $575.44 | |
BCBS
| Professional | $331.13 | $389.05 | $389.05 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $338.84 | $338.84 | $478.63 | |
United
| Facility | $134.90 | $338.84 | $676.08 | |
United
| Professional | $134.90 | $338.84 | $338.84 |