| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $251.19 | $457.09 | |
Aetna
| Professional | 50 | $234.42 | $234.42 | $234.42 |
BCBS
| Professional | $141.25 | $263.03 | $524.81 | |
BCBS
| Professional | 50 | $208.93 | $389.05 | $776.25 |
Cigna
| Professional | $154.88 | $309.03 | $676.08 | |
United
| Professional | $128.82 | $245.47 | $501.19 |