| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $79.43 | $100.00 | $208.93 | |
BCBS
| Professional | $138.04 | $169.82 | $194.98 | |
Cigna
| Professional | $89.13 | $147.91 | $218.78 | |
United
| Professional | $107.15 | $177.83 | $275.42 |