| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.76 | $18.76 | $18.76 | |
Aetna
| Professional | $19.00 | $263.20 | $682.13 | |
BCBS
| Professional | $21.93 | $29.24 | $29.24 | |
Cigna
| Professional | $25.56 | $30.00 | $40.44 | |
United
| Professional | $33.46 | $44.99 | $59.98 |