| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.28 | $68.28 | $68.28 | |
Aetna
| Professional | $21.84 | $50.58 | $56.11 | |
BCBS
| Professional | $30.40 | $30.40 | $30.40 | |
Cigna
| Professional | $9.24 | $19.72 | $47.57 | |
United
| Professional | $9.88 | $27.64 | $46.99 |