| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.47 | $176.55 | $253.97 | |
Aetna
| Professional | $133.46 | $133.46 | $232.50 | |
BCBS
| Professional | $119.43 | $140.50 | $140.50 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
United
| Professional | $128.79 | $140.50 | $140.50 |