| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $18.89 | $18.89 | |
Aetna
| Professional | $13.49 | $18.89 | $29.36 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Cigna
| Professional | $16.14 | $16.14 | $19.57 | |
United
| Professional | $11.96 | $25.93 | $32.40 |