| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.13 | $153.13 | $153.13 | |
Aetna
| Professional | $153.13 | $176.02 | $237.37 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $216.38 | $216.38 | $216.38 | |
United
| Professional | $254.57 | $254.57 | $254.57 |