| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.41 | $93.64 | $200.00 | |
Aetna
| Professional | 52 | $32.63 | $39.10 | $58.54 |
BCBS
| Professional | $70.84 | $106.98 | $187.93 | |
Cigna
| Professional | $75.37 | $115.33 | $192.34 | |
United
| Professional | $67.76 | $102.75 | $164.00 |