| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.86 | $453.86 | $453.86 | |
Aetna
| Professional | $230.51 | $453.86 | $453.86 | |
BCBS
| Professional | $401.85 | $401.85 | $401.85 | |
Cigna
| Facility | $340.42 | $340.42 | $526.23 | |
Cigna
| Professional | $248.51 | $340.42 | $460.79 | |
United
| Professional | $166.97 | $269.36 | $385.95 |