| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.27 | $68.27 | $69.88 | |
Aetna
| Professional | $68.27 | $68.27 | $71.48 | |
BCBS
| Professional | $145.00 | $260.00 | $260.00 | |
Cigna
| Professional | $99.92 | $110.70 | $256.08 | |
United
| Professional | $84.31 | $126.48 | $220.86 |