| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.97 | $95.00 | $164.35 | |
Aetna
| Professional | $12.48 | $17.32 | $22.97 | |
BCBS
| Professional | $28.71 | $36.00 | $74.00 | |
Cigna
| Professional | $26.43 | $26.43 | $33.04 | |
United
| Professional | $9.65 | $9.65 | $22.97 |