| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $371.54 | |
Aetna
| Professional | $100.00 | $165.96 | $288.40 | |
BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $69.18 | $181.97 | $346.74 | |
United
| Professional | $120.23 | $165.96 | $416.87 |