| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.95 | $12.95 | $12.95 | |
Aetna
| Professional | $9.26 | $12.95 | $20.13 | |
BCBS
| Professional | $19.00 | $19.00 | $19.00 | |
Cigna
| Professional | $20.35 | $20.35 | $20.35 | |
United
| Professional | $8.19 | $9.63 | $22.24 |