| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $27.54 | $27.54 | |
Aetna
| Professional | $7.94 | $21.88 | $45.71 | |
BCBS
| Professional | $15.85 | $15.85 | $18.62 | |
Cigna
| Professional | $6.31 | $11.22 | $83.18 | |
United
| Professional | $12.59 | $16.60 | $27.54 |