| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $89.13 | $112.20 | $245.47 | |
BCBS
| Professional | $275.42 | $426.58 | $426.58 | |
Cigna
| Professional | $95.50 | $169.82 | $295.12 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $100.00 | $181.97 | $316.23 |