| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.29 | $105.29 | $107.92 | |
Aetna
| Professional | $105.29 | $105.29 | $107.31 | |
BCBS
| Professional | $221.00 | $396.00 | $396.00 | |
Cigna
| Professional | $134.36 | $159.31 | $379.17 | |
United
| Professional | $114.16 | $210.35 | $326.97 |