| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.74 | $176.32 | $225.10 | |
BCBS
| Professional | $164.00 | $212.95 | $262.24 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Medcost
| Facility | $145.61 | $176.32 | $234.51 | |
United
| Professional | $90.60 | $101.33 | $122.84 |