| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.42 | $164.42 | $164.42 | |
Aetna
| Professional | $164.42 | $164.42 | $164.42 | |
BCBS
| Professional | $199.89 | $235.16 | $235.16 | |
Cigna
| Professional | $219.62 | $219.62 | $219.62 | |
United
| Professional | $180.86 | $197.30 | $235.16 |