| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.77 | $273.77 | $273.77 | |
Aetna
| Professional | $139.05 | $273.77 | $273.77 | |
BCBS
| Professional | $215.79 | $215.79 | $215.79 | |
Cigna
| Facility | $203.51 | $203.51 | $325.69 | |
Cigna
| Professional | $148.56 | $203.51 | $285.18 | |
United
| Professional | $108.32 | $162.47 | $250.38 |