| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.99 | $257.99 | $257.99 | |
Aetna
| Professional | $257.99 | $257.99 | $271.56 | |
BCBS
| Professional | $230.83 | $271.57 | $271.57 | |
Cigna
| Professional | $253.60 | $253.60 | $253.60 | |
United
| Professional | $271.57 | $291.52 | $309.58 |