| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.55 | $349.55 | $349.55 | |
Aetna
| Professional | $177.53 | $349.55 | $349.55 | |
BCBS
| Professional | $275.52 | $275.52 | $275.52 | |
Cigna
| Facility | $274.52 | $274.52 | $424.39 | |
Cigna
| Professional | $200.41 | $274.52 | $371.61 | |
United
| Professional | $137.80 | $207.45 | $318.51 |