| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.65 | $6.65 | $6.65 | |
Aetna
| Professional | $4.80 | $8.69 | $19.20 | |
Aetna
| Professional | 25 | $9.47 | $9.47 | $9.47 |
BCBS
| Professional | $4.46 | $5.94 | $7.63 | |
Cigna
| Professional | $3.00 | $4.63 | $8.10 | |
United
| Professional | $4.75 | $6.07 | $8.88 |