| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $1,197.70 | $1,197.70 | |
Aetna
| Professional | $236.30 | $236.30 | $236.30 | |
BCBS
| Professional | $158.87 | $186.90 | $186.90 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
United
| Professional | $171.33 | $186.90 | $186.90 |