| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.54 | $47.54 | $62.42 | |
BCBS
| Professional | $139.00 | $224.00 | $295.00 | |
BCBS
| Professional | 50 | $208.50 | $336.00 | $442.50 |
Cigna
| Professional | $63.32 | $82.32 | $120.31 | |
United
| Professional | $68.69 | $110.36 | $217.11 |