| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.91 | $148.91 | $155.52 | |
Aetna
| Professional | $113.09 | $140.61 | $200.12 | |
BCBS
| Professional | $402.00 | $661.00 | $661.00 | |
Cigna
| Professional | $118.71 | $249.77 | $376.49 | |
United
| Professional | $125.71 | $319.01 | $415.99 |