| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.56 | $50.56 | $50.56 | |
Aetna
| Professional | $39.44 | $49.04 | $58.14 | |
BCBS
| Professional | $15.82 | $15.82 | $18.67 | |
Cigna
| Professional | $6.81 | $11.99 | $88.28 | |
United
| Professional | $12.95 | $30.34 | $50.56 |