| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $33.11 | $112.20 | |
Aetna
| Professional | 52 | $8.13 | $19.95 | $19.95 |
BCBS
| Professional | $19.50 | $29.51 | $70.79 | |
Cigna
| Professional | $33.88 | $54.95 | $123.03 | |
United
| Professional | $20.89 | $33.88 | $63.10 |