| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $275.42 | |
Aetna
| Professional | $34.67 | $44.67 | $389.05 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $218.78 | $323.59 | $380.19 | |
United
| Professional | $50.12 | $83.18 | $100.00 |