| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.15 | $171.15 | $171.15 | |
Aetna
| Professional | $171.15 | $171.15 | $242.05 | |
BCBS
| Facility | $497.70 | $603.98 | $812.55 | |
Cigna
| Professional | $413.59 | $445.60 | $533.88 | |
United
| Professional | $93.84 | $93.84 | $108.14 |