| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $25.12 | $57.54 | $93.33 | |
BCBS
| Professional | $38.90 | $48.98 | $144.54 | |
Cigna
| Professional | $31.62 | $77.62 | $141.25 | |
United
| Professional | $33.11 | $77.62 | $165.96 |