| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.83 | $13.83 | $13.83 | |
Aetna
| Professional | $13.33 | $14.51 | $113.03 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $19.00 | $20.00 | $38.00 | |
United
| Professional | $23.82 | $126.59 | $251.08 |