| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.43 | $278.43 | $278.43 | |
Aetna
| Professional | $131.80 | $278.43 | $278.43 | |
BCBS
| Professional | $204.54 | $204.54 | $204.54 | |
Cigna
| Facility | $196.21 | $196.21 | $303.33 | |
Cigna
| Professional | $143.22 | $196.21 | $265.60 | |
United
| Professional | $100.88 | $151.33 | $243.91 |