| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.39 | $70.39 | $96.28 | |
Aetna
| Professional | 52 | $36.03 | $36.03 | $36.03 |
BCBS
| Professional | $105.00 | $129.00 | $129.00 | |
Cigna
| Professional | $100.17 | $111.20 | $155.18 | |
United
| Professional | $102.00 | $129.00 | $230.98 |