| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.14 | $125.40 | $159.09 | |
BCBS
| Professional | $144.00 | $186.76 | $229.79 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Medcost
| Facility | $125.40 | $151.69 | $204.14 | |
United
| Professional | $59.54 | $86.02 | $107.63 |