| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.86 | $43.86 | $43.86 | |
Aetna
| Professional | $31.34 | $43.86 | $68.16 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Cigna
| Professional | $0.09 | $0.09 | $0.10 | |
United
| Professional | $27.76 | $62.42 | $75.30 |