| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.31 | $269.31 | $269.31 | |
Aetna
| Professional | $127.49 | $269.31 | $269.31 | |
BCBS
| Professional | $222.25 | $222.25 | $222.25 | |
Cigna
| Facility | $176.58 | $176.58 | $296.95 | |
Cigna
| Professional | $128.90 | $176.58 | $284.22 | |
United
| Professional | $88.24 | $132.35 | $213.34 |