| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $83.18 | |
Aetna
| Professional | $52.48 | $70.79 | $120.23 | |
Aetna
| Professional | 25 | $89.13 | $89.13 | $89.13 |
BCBS
| Professional | $52.48 | $67.61 | $83.18 | |
Cigna
| Professional | $28.18 | $67.61 | $134.90 | |
United
| Professional | $44.67 | $74.13 | $102.33 |