| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.70 | $290.70 | $290.70 | |
Aetna
| Professional | $86.08 | $86.20 | $128.26 | |
BCBS
| Professional | $134.00 | $165.00 | $165.00 | |
Cigna
| Professional | $108.78 | $158.86 | $228.29 | |
United
| Professional | $111.11 | $166.05 | $367.40 |