| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.83 | $95.83 | $95.83 | |
Aetna
| Professional | $56.76 | $70.06 | $95.83 | |
BCBS
| Professional | $147.41 | $201.93 | $238.28 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
United
| Professional | $119.57 | $173.16 | $219.21 |