| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.37 | $469.37 | $469.37 | |
Aetna
| Professional | $112.85 | $142.53 | $153.19 | |
BCBS
| Professional | $115.38 | $135.74 | $227.03 | |
Cigna
| Facility | $195.78 | $195.78 | $195.78 | |
Cigna
| Professional | $166.41 | $166.41 | $166.41 | |
United
| Professional | $118.40 | $164.64 | $214.77 |