| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.37 | $5.37 | $5.37 | |
Aetna
| Professional | $21.88 | $21.88 | $38.90 | |
BCBS
| Professional | $19.95 | $23.44 | $23.44 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Facility | $43.65 | $43.65 | $43.65 | |
United
| Professional | $21.88 | $23.99 | $23.99 |