| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.62 | $365.62 | $365.62 | |
Aetna
| Professional | $185.69 | $365.62 | $365.62 | |
BCBS
| Professional | $323.72 | $323.72 | $323.72 | |
Cigna
| Facility | $271.77 | $271.77 | $434.94 | |
Cigna
| Professional | $198.39 | $271.77 | $380.85 | |
United
| Professional | $144.66 | $216.98 | $334.37 |