| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.57 | $388.57 | $388.57 | |
Aetna
| Professional | $183.93 | $388.57 | $388.57 | |
BCBS
| Professional | $320.66 | $320.66 | $320.66 | |
Cigna
| Facility | $253.20 | $253.20 | $449.64 | |
Cigna
| Professional | $184.84 | $253.20 | $393.72 | |
United
| Professional | $134.77 | $202.16 | $304.52 |