| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.49 | $116.49 | $133.96 | |
Aetna
| Professional | $90.86 | $113.00 | $133.96 | |
BCBS
| Professional | $250.00 | $250.00 | $295.00 | |
Cigna
| Professional | $50.48 | $72.45 | $649.59 | |
United
| Professional | $69.89 | $116.49 | $170.10 |