| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.20 | $77.20 | $80.28 | |
Aetna
| Professional | $77.20 | $80.28 | $82.54 | |
BCBS
| Professional | $206.00 | $338.00 | $338.00 | |
Cigna
| Professional | $41.85 | $91.60 | $164.12 | |
United
| Professional | $36.08 | $133.30 | $232.77 |