| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.79 | $287.79 | $287.79 | |
Aetna
| Professional | $92.03 | $128.13 | $236.47 | |
BCBS
| Professional | $128.13 | $128.13 | $128.13 | |
Cigna
| Professional | $53.09 | $123.82 | $273.20 | |
United
| Professional | $37.13 | $112.78 | $232.98 |