| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.22 | $355.22 | $355.22 | |
Aetna
| Professional | $168.15 | $355.22 | $355.22 | |
BCBS
| Professional | $293.14 | $293.14 | $293.14 | |
Cigna
| Facility | $246.11 | $246.11 | $494.96 | |
Cigna
| Professional | $179.66 | $246.11 | $433.40 | |
United
| Professional | $130.99 | $194.74 | $295.98 |