| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.31 | $313.31 | $313.31 | |
Aetna
| Professional | $148.30 | $313.31 | $313.31 | |
BCBS
| Professional | $258.55 | $258.55 | $258.55 | |
Cigna
| Facility | $192.91 | $192.91 | $345.50 | |
Cigna
| Professional | $140.82 | $192.91 | $339.24 | |
United
| Professional | $102.68 | $154.02 | $236.56 |