| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.97 | $68.97 | $72.19 | |
Aetna
| Professional | $68.97 | $68.97 | $73.09 | |
BCBS
| Professional | $180.00 | $180.00 | $296.00 | |
Cigna
| Professional | $126.73 | $126.73 | $252.91 | |
United
| Professional | $75.80 | $122.40 | $246.41 |