| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.73 | $238.73 | $238.73 | |
Aetna
| Professional | $113.01 | $238.73 | $238.73 | |
BCBS
| Professional | $197.01 | $197.01 | $197.01 | |
Cigna
| Facility | $165.40 | $165.40 | $288.95 | |
Cigna
| Professional | $120.74 | $165.40 | $253.02 | |
United
| Professional | $88.04 | $132.05 | $198.93 |