| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.71 | $38.71 | $40.46 | |
Aetna
| Professional | $38.71 | $38.71 | $41.07 | |
BCBS
| Professional | $101.00 | $101.00 | $166.00 | |
Cigna
| Professional | $59.34 | $59.34 | $124.38 | |
United
| Professional | $36.68 | $68.40 | $130.90 |