| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.76 | $163.76 | $167.39 | |
Aetna
| Professional | $165.06 | $165.06 | $170.08 | |
BCBS
| Professional | $347.00 | $623.00 | $623.00 | |
Cigna
| Professional | $218.12 | $261.85 | $606.03 | |
United
| Professional | $189.48 | $289.80 | $585.01 |