| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.53 | $216.57 | $268.16 | |
BCBS
| Professional | $202.00 | $261.80 | $322.14 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Medcost
| Facility | $178.86 | $222.68 | $298.79 | |
United
| Professional | $111.29 | $124.53 | $150.88 |