| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.75 | $232.75 | $232.75 | |
Aetna
| Professional | $60.62 | $60.62 | $76.18 | |
BCBS
| Professional | $108.00 | $133.00 | $133.00 | |
Cigna
| Professional | $101.23 | $113.17 | $152.36 | |
United
| Professional | $97.79 | $149.82 | $236.51 |