| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.25 | $32.25 | $33.36 | |
Aetna
| Professional | $32.25 | $37.18 | $37.18 | |
BCBS
| Professional | $84.00 | $84.00 | $138.00 | |
Cigna
| Professional | $40.72 | $52.98 | $75.26 | |
United
| Professional | $35.40 | $63.38 | $141.69 |