| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.37 | $25.37 | $25.37 | |
Aetna
| Professional | $19.79 | $24.94 | $29.18 | |
BCBS
| Professional | $31.99 | $31.99 | $37.75 | |
Cigna
| Professional | $10.92 | $13.23 | $166.29 | |
United
| Professional | $15.22 | $23.59 | $31.19 |