| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.11 | $512.11 | $512.11 | |
Aetna
| Professional | $242.42 | $318.20 | $512.11 | |
BCBS
| Professional | $407.32 | $407.32 | $407.32 | |
Cigna
| Facility | $315.25 | $315.25 | $564.79 | |
Cigna
| Professional | $230.13 | $315.25 | $494.55 | |
United
| Professional | $167.80 | $251.69 | $389.97 |