| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $15.14 | $20.89 | |
BCBS
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $14.13 | $19.05 | $28.18 | |
Medica
| Professional | $13.80 | $19.50 | $97.72 | |
United
| Professional | $12.88 | $17.78 | $25.70 |