| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $263.03 | |
Aetna
| Professional | $38.90 | $64.57 | $104.71 | |
BCBS
| Professional | $36.31 | $58.88 | $91.20 | |
Cigna
| Professional | $45.71 | $93.33 | $169.82 | |
United
| Professional | $45.71 | $74.13 | $125.89 |