| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.04 | $23.04 | $23.04 | |
Aetna
| Professional | $17.97 | $22.35 | $26.50 | |
BCBS
| Professional | $30.33 | $30.33 | $35.79 | |
Cigna
| Professional | $9.93 | $12.61 | $158.07 | |
United
| Professional | $13.82 | $18.50 | $29.02 |