| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.20 | $238.55 | $374.02 | |
Aetna
| Professional | 50 | $472.61 | $472.61 | $472.61 |
BCBS
| Professional | $157.68 | $266.35 | $459.80 | |
BCBS
| Professional | 50 | $231.20 | $391.87 | $628.30 |
Cigna
| Professional | $153.69 | $280.88 | $537.64 | |
United
| Professional | $251.99 | $356.04 | $591.28 |