| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.04 | $760.00 | $760.00 | |
Aetna
| Professional | $8.28 | $10.96 | $258.72 | |
BCBS
| Professional | $17.00 | $21.00 | $21.00 | |
Cigna
| Professional | $13.54 | $16.19 | $21.93 | |
United
| Professional | $16.80 | $20.90 | $34.10 |