| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.77 | $266.77 | $266.77 | |
Aetna
| Professional | $12.61 | $15.21 | $23.92 | |
BCBS
| Professional | $21.00 | $26.00 | $26.00 | |
Cigna
| Professional | $19.80 | $23.93 | $34.52 | |
United
| Professional | $24.48 | $30.80 | $60.50 |