| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.55 | $320.55 | $320.55 | |
Aetna
| Professional | $151.74 | $320.55 | $320.55 | |
BCBS
| Professional | $264.52 | $264.52 | $264.52 | |
Cigna
| Facility | $243.89 | $243.89 | $377.04 | |
Cigna
| Professional | $178.04 | $178.04 | $437.25 | |
United
| Professional | $118.21 | $177.31 | $267.08 |