| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.61 | $77.61 | $77.61 | |
Aetna
| Professional | $62.20 | $77.61 | $88.83 | |
BCBS
| Professional | $79.48 | $79.48 | $79.48 | |
Cigna
| Professional | $45.55 | $45.55 | $123.00 | |
United
| Professional | $31.56 | $47.35 | $74.95 |