| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.72 | $312.72 | $312.72 | |
Aetna
| Professional | $158.83 | $312.72 | $312.72 | |
BCBS
| Professional | $251.61 | $251.61 | $251.61 | |
Cigna
| Facility | $239.35 | $239.35 | $369.99 | |
Cigna
| Professional | $174.73 | $174.73 | $429.00 | |
United
| Professional | $109.93 | $185.59 | $265.79 |