| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.16 | $213.16 | $213.16 | |
Aetna
| Professional | $152.30 | $213.16 | $331.26 | |
BCBS
| Professional | $260.00 | $260.00 | $260.00 | |
Cigna
| Professional | $170.00 | $170.00 | $206.00 | |
United
| Professional | $134.94 | $303.35 | $365.95 |