| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $95.50 | $151.36 | $245.47 | |
BCBS
| Facility | $602.56 | $602.56 | $630.96 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
United
| Professional | $134.90 | $269.15 | $524.81 |