| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $750.04 | |
Aetna
| Professional | $74.17 | $142.62 | $142.63 | |
BCBS
| Professional | $178.39 | $221.00 | $457.00 | |
Cigna
| Professional | $74.17 | $232.21 | $338.30 | |
United
| Professional | $62.79 | $68.14 | $167.58 |