| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.64 | $248.64 | $248.64 | |
Aetna
| Professional | $117.70 | $246.23 | $248.64 | |
BCBS
| Professional | $205.19 | $205.19 | $205.19 | |
Cigna
| Facility | $190.78 | $190.78 | $297.13 | |
Cigna
| Professional | $139.27 | $190.78 | $260.18 | |
United
| Professional | $86.76 | $130.13 | $196.02 |