| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.68 | $26.68 | $26.68 | |
Aetna
| Professional | $5.31 | $26.68 | $29.13 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $19.00 | $20.00 | $75.00 | |
United
| Professional | $4.62 | $6.30 | $23.82 |