| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $346.74 | |
Aetna
| Professional | $93.33 | $154.88 | $269.15 | |
BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $61.66 | $147.91 | $331.13 | |
United
| Professional | $112.20 | $154.88 | $398.11 |