| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.72 | $115.58 | $125.10 | |
BCBS
| Professional | $142.87 | $200.00 | $259.70 | |
Cigna
| Professional | $58.29 | $58.29 | $58.29 | |
Medcost
| Facility | $111.81 | $115.58 | $177.99 | |
United
| Professional | $50.49 | $67.09 | $83.86 |