| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.08 | $135.08 | $135.08 | |
Aetna
| Professional | $94.92 | $108.70 | $142.11 | |
BCBS
| Professional | $96.36 | $132.00 | $155.76 | |
Cigna
| Professional | $86.09 | $112.54 | $328.76 | |
United
| Professional | $81.84 | $111.34 | $153.65 |