| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.58 | $429.58 | $429.58 | |
Aetna
| Professional | $203.35 | $429.58 | $429.58 | |
BCBS
| Professional | $315.58 | $315.58 | $315.58 | |
Cigna
| Facility | $297.62 | $297.62 | $546.76 | |
Cigna
| Professional | $217.26 | $297.62 | $478.77 | |
United
| Professional | $158.41 | $237.62 | $357.94 |