| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.92 | $106.40 | $143.51 | |
Aetna
| Professional | $117.31 | $131.34 | $195.76 | |
BCBS
| Professional | $405.00 | $665.00 | $665.00 | |
Cigna
| Professional | $133.08 | $193.81 | $385.46 | |
United
| Professional | $135.29 | $299.89 | $398.20 |