| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $42.13 | $42.13 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Professional | $52.78 | $65.00 | $135.00 | |
Cigna
| Professional | $19.59 | $48.40 | $60.50 | |
United
| Professional | $16.72 | $17.73 | $44.56 |