| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.44 | $105.44 | $107.86 | |
Aetna
| Professional | $105.44 | $105.44 | $108.35 | |
BCBS
| Professional | $222.00 | $398.00 | $398.00 | |
Cigna
| Professional | $148.87 | $168.20 | $388.01 | |
United
| Professional | $133.60 | $191.59 | $334.56 |