| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.18 | $171.59 | $200.86 | |
BCBS
| Professional | $160.00 | $207.42 | $255.22 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Medcost
| Facility | $141.71 | $171.59 | $240.86 | |
United
| Professional | $82.84 | $98.61 | $119.54 |