| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.88 | $110.88 | $110.88 | |
Aetna
| Professional | $112.38 | $112.38 | $160.10 | |
BCBS
| Professional | $197.00 | $279.00 | $373.00 | |
Cigna
| Professional | $134.06 | $181.60 | $267.12 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $165.32 | $263.39 | $420.19 |