| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.18 | $204.18 | $204.18 | |
Aetna
| Professional | $109.88 | $204.18 | $515.60 | |
BCBS
| Facility | $403.39 | $489.53 | $658.57 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
United
| Professional | $100.92 | $138.24 | $180.38 |