| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.50 | $248.50 | $248.50 | |
Aetna
| Professional | $248.50 | $248.50 | $273.35 | |
BCBS
| Professional | $243.90 | $286.94 | $286.94 | |
Cigna
| Facility | $234.43 | $234.43 | $234.43 | |
Cigna
| Professional | $248.50 | $304.76 | $351.65 | |
United
| Professional | $248.50 | $248.50 | $248.50 |