| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.59 | $18.59 | $18.59 | |
Aetna
| Professional | $13.28 | $18.59 | $28.90 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Cigna
| Professional | $29.14 | $29.14 | $29.14 | |
United
| Professional | $11.77 | $13.83 | $31.91 |