| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.76 | $18.76 | $18.76 | |
Aetna
| Professional | $19.00 | $28.75 | $115.00 | |
BCBS
| Professional | $21.93 | $29.24 | $29.24 | |
Cigna
| Professional | $23.42 | $25.45 | $40.44 | |
United
| Professional | $35.10 | $46.80 | $59.67 |