| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.28 | $45.28 | $45.28 | |
Aetna
| Professional | $45.22 | $145.91 | $145.91 | |
BCBS
| Professional | $56.70 | $70.00 | $145.00 | |
Cigna
| Professional | $23.48 | $52.04 | $65.05 | |
United
| Professional | $27.14 | $27.14 | $45.23 |