| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.78 | $409.78 | $420.70 | |
Aetna
| Professional | $89.79 | $92.50 | $92.50 | |
BCBS
| Professional | $124.00 | $153.00 | $153.00 | |
Cigna
| Professional | $23.39 | $42.03 | $87.81 | |
United
| Professional | $34.65 | $84.81 | $84.81 |