| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.50 | $180.50 | $180.50 | |
Aetna
| Professional | $84.49 | $84.49 | $166.50 | |
BCBS
| Professional | $84.49 | $99.40 | $99.40 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $91.11 | $99.40 | $130.53 |