| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $42.66 | $91.20 | |
Aetna
| Professional | 52 | $117.49 | $117.49 | $117.49 |
BCBS
| Professional | $33.11 | $46.77 | $117.49 | |
Cigna
| Professional | $61.66 | $104.71 | $194.98 | |
United
| Professional | $31.62 | $50.12 | $102.33 |