| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.52 | $258.52 | $258.52 | |
Aetna
| Professional | $258.64 | $261.23 | $300.02 | |
BCBS
| Professional | $258.58 | $304.22 | $304.22 | |
Cigna
| Facility | $244.00 | $244.00 | $244.00 | |
Cigna
| Professional | $258.64 | $317.20 | $366.00 | |
United
| Professional | $258.64 | $258.64 | $258.64 |