| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $10.96 | $16.98 | $22.91 | |
BCBS
| Professional | $22.91 | $22.91 | $30.90 | |
Cigna
| Professional | $10.96 | $12.02 | $12.02 | |
United
| Professional | $7.59 | $12.02 | $16.98 |