| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.56 | $243.56 | $243.56 | |
Aetna
| Professional | $174.03 | $243.56 | $378.52 | |
BCBS
| Professional | $297.00 | $297.00 | $297.00 | |
Cigna
| Professional | $208.25 | $208.25 | $252.35 | |
United
| Professional | $154.19 | $248.86 | $418.17 |