| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.29 | $362.29 | $362.29 | |
Aetna
| Professional | $171.50 | $362.29 | $362.29 | |
BCBS
| Professional | $298.98 | $298.98 | $298.98 | |
Cigna
| Facility | $251.00 | $251.00 | $401.69 | |
Cigna
| Professional | $183.23 | $251.00 | $351.74 | |
United
| Facility | $345.78 | $345.78 | $345.78 | |
United
| Professional | $133.60 | $200.40 | $301.87 |