| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.66 | $4.66 | $4.66 | |
Aetna
| Professional | $4.66 | $5.19 | $7.23 | |
BCBS
| Professional | $13.00 | $13.00 | $13.00 | |
Cigna
| Professional | $2.89 | $2.89 | $3.50 | |
United
| Professional | $2.73 | $7.35 | $15.41 |