| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $5.01 | $7.94 | $15.14 | |
BCBS
| Professional | $14.45 | $14.45 | $14.45 | |
Cigna
| Professional | $3.55 | $10.00 | $21.38 | |
United
| Professional | $6.46 | $8.71 | $22.91 |