| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.91 | $165.91 | $173.85 | |
Aetna
| Professional | $165.91 | $165.91 | $206.10 | |
BCBS
| Professional | $503.00 | $503.00 | $826.00 | |
Cigna
| Professional | $242.68 | $242.68 | $479.31 | |
United
| Professional | $150.16 | $347.20 | $569.39 |