| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.62 | $196.62 | $196.62 | |
Aetna
| Professional | $75.84 | $75.84 | $75.84 | |
BCBS
| Professional | $75.84 | $89.24 | $89.24 | |
Cigna
| Professional | $83.29 | $83.29 | $83.29 | |
United
| Professional | $81.81 | $87.76 | $94.35 |