| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.08 | $468.08 | $468.08 | |
Aetna
| Professional | $221.58 | $468.08 | $468.08 | |
BCBS
| Professional | $386.28 | $386.28 | $386.28 | |
Cigna
| Facility | $324.30 | $324.30 | $647.63 | |
Cigna
| Professional | $236.74 | $236.74 | $750.75 | |
United
| Professional | $172.62 | $258.92 | $390.03 |