| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $16.98 | $19.05 | $28.18 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $20.89 | $34.67 | $63.10 | |
United
| Professional | $50.12 | $74.13 | $112.20 |