| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.89 | $190.89 | $190.89 | |
Aetna
| Professional | $145.19 | $190.89 | $217.43 | |
BCBS
| Professional | $272.97 | $272.97 | $272.97 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
United
| Professional | $96.39 | $144.59 | $204.83 |