| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.30 | $132.88 | $192.68 | |
Aetna
| Professional | $132.88 | $132.88 | $132.88 | |
BCBS
| Professional | $50.98 | $53.43 | $54.28 | |
Cigna
| Facility | $54.28 | $91.25 | $155.56 | |
United
| Professional | $40.24 | $74.20 | $74.20 |