| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $74.13 | $74.13 | |
Aetna
| Professional | $57.54 | $69.18 | $91.20 | |
BCBS
| Professional | $107.15 | $131.83 | $131.83 | |
Cigna
| Professional | $66.07 | $83.18 | $114.82 | |
United
| Professional | $107.15 | $134.90 | $245.47 |