| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.60 | $162.60 | $171.18 | |
Aetna
| Professional | $162.60 | $162.60 | $184.74 | |
BCBS
| Professional | $451.00 | $741.00 | $741.00 | |
Cigna
| Professional | $149.69 | $149.69 | $149.69 | |
United
| Professional | $191.37 | $327.00 | $590.07 |