| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.55 | $421.55 | $421.55 | |
Aetna
| Professional | $214.10 | $421.55 | $421.55 | |
BCBS
| Professional | $373.24 | $373.24 | $373.24 | |
Cigna
| Facility | $344.22 | $344.22 | $532.11 | |
Cigna
| Professional | $251.28 | $344.22 | $465.93 | |
United
| Professional | $166.79 | $250.18 | $385.52 |