| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.18 | $104.18 | $108.56 | |
Aetna
| Professional | $81.72 | $89.06 | $197.26 | |
BCBS
| Professional | $277.00 | $456.00 | $456.00 | |
Cigna
| Professional | $113.69 | $190.88 | $411.12 | |
United
| Professional | $134.11 | $207.08 | $364.10 |