| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.22 | $42.22 | $42.22 | |
Aetna
| Professional | $32.93 | $40.95 | $48.55 | |
BCBS
| Professional | $15.82 | $15.82 | $18.67 | |
Cigna
| Professional | $6.34 | $11.16 | $82.10 | |
United
| Professional | $12.95 | $25.33 | $42.22 |