| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.47 | $278.47 | $278.47 | |
Aetna
| Professional | $131.82 | $278.47 | $278.47 | |
BCBS
| Professional | $229.81 | $229.81 | $229.81 | |
Cigna
| Facility | $225.30 | $225.30 | $383.64 | |
Cigna
| Professional | $164.47 | $225.30 | $335.93 | |
United
| Facility | $326.08 | $326.08 | $383.64 | |
United
| Professional | $95.70 | $143.54 | $216.23 |