| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.91 | $13.91 | $13.91 | |
Aetna
| Professional | $13.91 | $14.22 | $33.49 | |
BCBS
| Professional | $9.13 | $12.17 | $12.17 | |
Cigna
| Professional | $15.76 | $20.83 | $65.75 | |
United
| Professional | $41.86 | $52.94 | $74.42 |