| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $15.14 | $19.05 | $38.02 | |
BCBS
| Professional | $30.20 | $30.20 | $35.48 | |
Cigna
| Professional | $10.00 | $12.30 | $162.18 | |
United
| Professional | $13.80 | $22.91 | $29.51 |