| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.75 | $379.75 | $379.75 | |
Aetna
| Professional | $179.77 | $247.18 | $379.75 | |
BCBS
| Professional | $301.79 | $301.79 | $301.79 | |
Cigna
| Facility | $261.02 | $264.44 | $430.74 | |
Cigna
| Professional | $193.04 | $264.44 | $377.17 | |
United
| Professional | $136.88 | $205.32 | $327.84 |