| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.33 | $377.33 | $377.33 | |
Aetna
| Professional | $191.64 | $377.33 | $377.33 | |
BCBS
| Professional | $334.09 | $334.09 | $334.09 | |
Cigna
| Facility | $279.26 | $279.26 | $431.68 | |
Cigna
| Professional | $203.86 | $279.26 | $377.99 | |
United
| Facility | $287.68 | $287.68 | $287.68 | |
United
| Professional | $143.57 | $223.94 | $343.87 |