| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.25 | $326.25 | $326.25 | |
Aetna
| Professional | $31.78 | $41.78 | $52.19 | |
BCBS
| Professional | $58.00 | $71.00 | $73.00 | |
Cigna
| Professional | $53.18 | $64.64 | $108.42 | |
United
| Professional | $46.43 | $76.88 | $122.62 |