| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.03 | $76.23 | $90.71 | |
Aetna
| Professional | $66.70 | $77.11 | $96.51 | |
Aetna
| Professional | 25 | $20.57 | $20.57 | $20.57 |
BCBS
| Professional | $61.12 | $87.32 | $87.32 | |
Cigna
| Professional | $59.65 | $97.13 | $306.63 | |
United
| Professional | $63.07 | $80.78 | $104.81 |