| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.56 | $55.56 | $59.89 | |
BCBS
| Professional | $69.43 | $79.50 | $120.51 | |
Cigna
| Professional | $77.39 | $129.22 | $203.18 | |
Medcost
| Professional | $76.63 | $76.63 | $76.63 | |
United
| Professional | $64.14 | $85.04 | $176.01 |