| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.10 | $107.10 | $107.10 | |
Aetna
| Professional | $76.65 | $107.10 | $123.88 | |
BCBS
| Professional | $91.00 | $91.00 | $91.00 | |
Cigna
| Professional | $60.12 | $60.12 | $60.12 | |
United
| Professional | $41.66 | $65.84 | $101.30 |