| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.72 | $332.72 | $332.72 | |
Aetna
| Professional | $168.98 | $332.72 | $332.72 | |
BCBS
| Professional | $318.83 | $318.83 | $318.83 | |
Cigna
| Facility | $277.45 | $277.45 | $421.95 | |
Cigna
| Professional | $202.54 | $277.45 | $369.48 | |
United
| Professional | $125.94 | $197.46 | $326.25 |