| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.78 | $56.85 | $75.00 | |
BCBS
| Professional | $53.00 | $68.70 | $84.56 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Medcost
| Facility | $46.95 | $56.85 | $75.61 | |
United
| Professional | $28.97 | $33.49 | $39.60 |