| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.76 | $18.76 | $18.76 | |
Aetna
| Professional | $19.00 | $58.34 | $272.85 | |
BCBS
| Professional | $43.82 | $58.42 | $58.42 | |
Cigna
| Professional | $27.69 | $32.40 | $65.75 | |
United
| Professional | $51.66 | $65.26 | $85.56 |