| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.36 | $319.36 | $319.36 | |
Aetna
| Professional | $151.16 | $319.36 | $319.36 | |
BCBS
| Professional | $239.50 | $239.50 | $239.50 | |
Cigna
| Facility | $212.98 | $212.98 | $352.24 | |
Cigna
| Professional | $155.47 | $212.98 | $337.04 | |
United
| Professional | $104.64 | $156.97 | $243.19 |