| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.63 | $146.22 | $180.63 | |
BCBS
| Professional | $136.00 | $176.60 | $217.50 | |
Cigna
| Professional | $86.76 | $86.76 | $86.76 | |
Medcost
| Facility | $120.76 | $146.22 | $194.49 | |
United
| Professional | $75.14 | $88.17 | $101.87 |