| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.78 | $548.78 | $548.78 | |
Aetna
| Professional | $75.15 | $165.47 | $417.10 | |
BCBS
| Professional | $396.00 | $488.00 | $488.00 | |
Cigna
| Professional | $161.16 | $379.32 | $466.03 | |
United
| Professional | $100.51 | $139.22 | $255.23 |