| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.32 | $125.32 | $125.32 | |
Aetna
| Professional | $67.14 | $67.14 | $125.32 | |
BCBS
| Professional | $47.60 | $56.00 | $56.00 | |
Cigna
| Professional | $47.60 | $47.60 | $47.60 | |
United
| Professional | $46.67 | $46.67 | $46.67 |