| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.40 | $153.58 | $200.20 | |
BCBS
| Professional | $143.00 | $185.64 | $228.43 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
Medcost
| Facility | $133.18 | $153.58 | $210.44 | |
United
| Professional | $78.92 | $90.48 | $114.07 |