| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.61 | $78.61 | $78.61 | |
Aetna
| Professional | $64.90 | $78.61 | $89.97 | |
BCBS
| Professional | $80.50 | $80.50 | $80.50 | |
Cigna
| Professional | $44.13 | $44.13 | $125.25 | |
United
| Professional | $30.58 | $45.86 | $73.22 |