| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.34 | $67.34 | $70.55 | |
Aetna
| Professional | $67.34 | $67.34 | $71.36 | |
BCBS
| Professional | $176.00 | $176.00 | $289.00 | |
Cigna
| Professional | $138.82 | $138.82 | $256.58 | |
United
| Professional | $73.20 | $123.38 | $229.89 |