| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.59 | $417.59 | $417.59 | |
Aetna
| Professional | $197.68 | $417.59 | $417.59 | |
BCBS
| Professional | $344.62 | $344.62 | $344.62 | |
Cigna
| Facility | $295.70 | $295.70 | $457.12 | |
Cigna
| Professional | $215.87 | $295.70 | $400.28 | |
United
| Facility | $142.34 | $208.12 | $249.78 | |
United
| Professional | $139.99 | $209.99 | $318.00 |