| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.72 | $180.72 | $180.72 | |
Aetna
| Professional | $174.34 | $180.72 | $300.52 | |
BCBS
| Professional | $181.00 | $181.00 | $181.00 | |
Cigna
| Professional | $336.13 | $336.13 | $336.13 | |
United
| Professional | $180.30 | $180.30 | $180.30 |