| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $248.71 | $248.71 | |
Aetna
| Professional | $248.71 | $248.71 | $287.08 | |
BCBS
| Facility | $337.64 | $584.36 | $952.82 | |
Cigna
| Facility | $404.08 | $404.08 | $404.08 | |
Cigna
| Professional | $324.56 | $324.56 | $324.56 | |
United
| Professional | $197.62 | $197.62 | $197.62 |