| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.76 | $155.76 | $577.60 | |
Aetna
| Professional | $113.46 | $117.31 | $117.32 | |
BCBS
| Professional | $147.00 | $182.00 | $182.00 | |
Cigna
| Professional | $78.91 | $78.91 | $159.32 | |
United
| Professional | $249.29 | $335.22 | $645.22 |