| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.60 | $379.60 | $379.60 | |
Aetna
| Professional | $179.69 | $269.02 | $379.60 | |
BCBS
| Professional | $265.74 | $265.74 | $265.74 | |
Cigna
| Facility | $315.73 | $315.73 | $543.58 | |
Cigna
| Professional | $230.48 | $315.73 | $475.98 | |
United
| Facility | $243.26 | $243.26 | $243.26 | |
United
| Professional | $138.83 | $208.25 | $332.52 |