| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.05 | $309.05 | $309.05 | |
Aetna
| Professional | $146.30 | $309.05 | $309.05 | |
BCBS
| Professional | $255.04 | $255.04 | $255.04 | |
Cigna
| Facility | $227.96 | $227.96 | $340.82 | |
Cigna
| Professional | $166.41 | $227.96 | $298.44 | |
United
| Professional | $101.26 | $151.90 | $242.54 |