| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.89 | $306.89 | $306.89 | |
Aetna
| Professional | $155.87 | $306.89 | $306.89 | |
BCBS
| Professional | $271.74 | $271.74 | $271.74 | |
Cigna
| Facility | $274.64 | $274.64 | $406.49 | |
Cigna
| Professional | $200.49 | $274.64 | $355.93 | |
United
| Professional | $121.43 | $182.14 | $280.68 |