| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.90 | $124.90 | $124.90 | |
Aetna
| Professional | $39.94 | $92.52 | $102.64 | |
BCBS
| Professional | $55.62 | $55.62 | $55.62 | |
Cigna
| Professional | $11.99 | $22.97 | $86.50 | |
United
| Professional | $9.88 | $50.56 | $101.12 |