| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.87 | $92.87 | $146.78 | |
Aetna
| Professional | $2.04 | $6.96 | $27.68 | |
Aetna
| Professional | 52 | $1.02 | $1.04 | $3.48 |
BCBS
| Professional | $3.00 | $5.00 | $12.00 | |
Cigna
| Professional | $3.06 | $6.38 | $10.51 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $7.15 | $10.21 | $24.71 |