| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.44 | $109.60 | $116.62 | |
BCBS
| Professional | $103.00 | $133.75 | $164.90 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Medcost
| Facility | $91.30 | $110.87 | $146.50 | |
United
| Professional | $42.73 | $63.71 | $77.23 |