| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $41.69 | $44.67 | $72.44 | |
BCBS
| Professional | $44.67 | $52.48 | $52.48 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $50.12 | $50.12 | $50.12 |