| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.50 | $260.50 | $260.50 | |
Aetna
| Professional | $260.50 | $260.50 | $260.50 | |
BCBS
| Professional | $325.63 | $404.00 | $834.00 | |
Cigna
| Professional | $299.43 | $374.28 | $560.22 | |
United
| Professional | $109.41 | $109.41 | $260.50 |