| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.64 | $113.64 | $113.64 | |
Aetna
| Professional | $18.67 | $18.67 | $18.67 | |
BCBS
| Professional | $18.68 | $21.98 | $21.98 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
United
| Professional | $21.98 | $22.97 | $25.06 |