| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.16 | $98.16 | $98.16 | |
Aetna
| Professional | $35.00 | $37.19 | $98.16 | |
BCBS
| Professional | $87.83 | $103.33 | $103.33 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Professional | $103.33 | $110.92 | $117.79 |