| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $181.97 | |
Aetna
| Professional | $83.18 | $97.72 | $239.88 | |
BCBS
| Professional | $87.10 | $102.33 | $102.33 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
United
| Professional | $91.20 | $100.00 | $131.83 |