| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.76 | $246.76 | $246.76 | |
Aetna
| Professional | $116.81 | $246.76 | $246.76 | |
BCBS
| Professional | $203.63 | $203.63 | $203.63 | |
Cigna
| Facility | $170.96 | $170.96 | $283.97 | |
Cigna
| Professional | $124.80 | $124.80 | $329.25 | |
United
| Professional | $91.00 | $135.28 | $205.61 |