| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.32 | $307.32 | $307.32 | |
Aetna
| Professional | $145.47 | $307.32 | $307.32 | |
BCBS
| Professional | $225.75 | $225.75 | $225.75 | |
Cigna
| Facility | $189.91 | $189.91 | $343.76 | |
Cigna
| Professional | $138.63 | $189.91 | $301.00 | |
United
| Professional | $101.08 | $161.76 | $243.87 |