| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.07 | $175.07 | $175.07 | |
Aetna
| Professional | $125.10 | $175.07 | $272.08 | |
BCBS
| Professional | $214.00 | $214.00 | $214.00 | |
Cigna
| Professional | $153.00 | $153.00 | $185.40 | |
United
| Professional | $110.83 | $178.88 | $300.58 |