| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.24 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $78.31 | $111.88 | $111.88 | |
Cigna
| Professional | $55.95 | $55.95 | $90.00 | |
United
| Professional | $23.68 | $35.51 | $112.43 |