| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.18 | $9.18 | $9.18 | |
Aetna
| Professional | $6.95 | $9.18 | $10.28 | |
BCBS
| Professional | $35.00 | $35.00 | $35.00 | |
Cigna
| Professional | $9.90 | $9.90 | $9.90 | |
United
| Professional | $5.20 | $6.50 | $13.72 |