| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.98 | $113.98 | $117.05 | |
Aetna
| Professional | $113.98 | $113.98 | $123.32 | |
BCBS
| Professional | $302.00 | $495.00 | $495.00 | |
Cigna
| Professional | $131.38 | $170.21 | $438.86 | |
United
| Professional | $133.71 | $215.76 | $460.91 |