| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.82 | $291.82 | $291.82 | |
Aetna
| Professional | $138.13 | $291.82 | $291.82 | |
BCBS
| Professional | $233.13 | $233.13 | $233.13 | |
Cigna
| Facility | $268.08 | $268.08 | $409.96 | |
Cigna
| Professional | $195.70 | $268.08 | $358.97 | |
United
| Professional | $107.62 | $161.41 | $260.18 |