| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $39.53 | $39.53 | |
Aetna
| Professional | $12.64 | $29.28 | $32.47 | |
BCBS
| Professional | $28.37 | $28.37 | $28.37 | |
Cigna
| Professional | $7.26 | $16.18 | $35.74 | |
United
| Professional | $9.60 | $17.60 | $31.00 |