| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.80 | $452.80 | $452.80 | |
Aetna
| Professional | $229.97 | $452.80 | $452.80 | |
BCBS
| Professional | $400.92 | $400.92 | $400.92 | |
Cigna
| Facility | $393.88 | $393.88 | $662.75 | |
Cigna
| Professional | $287.52 | $287.52 | $768.38 | |
United
| Professional | $179.16 | $268.73 | $429.09 |