| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $34.67 | $44.67 | $630.96 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $389.05 | $562.34 | $660.69 | |
United
| Professional | $50.12 | $83.18 | $100.00 |