| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $91.20 | $93.33 | $102.33 | |
BCBS
| Professional | $141.25 | $173.78 | $173.78 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
United
| Professional | $91.20 | $147.91 | $229.09 |