| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.30 | $71.30 | $73.06 | |
Aetna
| Professional | $57.37 | $76.28 | $94.57 | |
BCBS
| Professional | $108.00 | $133.00 | $133.00 | |
Cigna
| Professional | $66.06 | $82.19 | $116.73 | |
United
| Professional | $102.79 | $135.79 | $216.57 |