| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.07 | $150.07 | $150.07 | |
Aetna
| Professional | $144.77 | $150.07 | $249.56 | |
BCBS
| Professional | $149.72 | $149.72 | $149.72 | |
Cigna
| Professional | $279.08 | $279.08 | $279.08 | |
United
| Professional | $136.80 | $136.80 | $136.80 |