| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.04 | $361.04 | $361.04 | |
Aetna
| Professional | $170.90 | $361.04 | $361.04 | |
BCBS
| Professional | $287.83 | $287.83 | $287.83 | |
Cigna
| Facility | $252.60 | $252.60 | $402.45 | |
Cigna
| Professional | $184.40 | $184.40 | $466.50 | |
United
| Professional | $133.13 | $197.93 | $300.83 |