| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.06 | $218.06 | $218.06 | |
Aetna
| Professional | $218.06 | $218.06 | $218.06 | |
BCBS
| Professional | $272.58 | $338.00 | $698.00 | |
Cigna
| Professional | $250.69 | $250.69 | $313.36 | |
United
| Professional | $91.59 | $91.59 | $218.06 |