| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $95.50 | $109.65 | $239.88 | |
BCBS
| Professional | $223.87 | $416.87 | $416.87 | |
Cigna
| Professional | $147.91 | $177.83 | $389.05 | |
United
| Professional | $128.82 | $190.55 | $331.13 |