| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.70 | $302.70 | $302.70 | |
Aetna
| Professional | $153.74 | $302.70 | $302.70 | |
BCBS
| Professional | $268.02 | $268.02 | $268.02 | |
Cigna
| Facility | $231.66 | $231.66 | $358.10 | |
Cigna
| Professional | $169.11 | $231.66 | $342.75 | |
United
| Professional | $106.40 | $179.65 | $247.32 |