| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.72 | $21.72 | $21.72 | |
Aetna
| Professional | $13.86 | $17.37 | $21.72 | |
BCBS
| Professional | $16.72 | $22.29 | $35.42 | |
Cigna
| Professional | $17.93 | $23.08 | $46.43 | |
United
| Professional | $19.94 | $25.17 | $35.58 |