| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.80 | $477.80 | $477.80 | |
Aetna
| Professional | $226.18 | $477.80 | $477.80 | |
BCBS
| Professional | $370.78 | $370.78 | $370.78 | |
Cigna
| Facility | $331.03 | $331.03 | $543.84 | |
Cigna
| Professional | $241.65 | $331.03 | $476.20 | |
United
| Professional | $176.20 | $264.29 | $404.45 |