| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.67 | $99.67 | $104.38 | |
Aetna
| Professional | $62.92 | $104.38 | $114.72 | |
BCBS
| Professional | $28.48 | $33.43 | $56.90 | |
Cigna
| Professional | $83.40 | $83.40 | $83.40 | |
United
| Professional | $87.87 | $112.03 | $205.11 |