| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.13 | $355.13 | $355.13 | |
Aetna
| Professional | $113.56 | $158.13 | $291.81 | |
BCBS
| Professional | $217.65 | $217.65 | $217.65 | |
Cigna
| Professional | $61.48 | $159.84 | $296.22 | |
United
| Professional | $103.24 | $172.06 | $359.38 |