| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.36 | $81.36 | $84.78 | |
Aetna
| Professional | $64.56 | $81.17 | $104.44 | |
BCBS
| Professional | $218.00 | $359.00 | $359.00 | |
Cigna
| Professional | $69.94 | $136.60 | $222.67 | |
United
| Professional | $73.73 | $163.44 | $243.09 |