| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $13.62 | $19.05 | $29.62 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $21.60 | $21.60 | $26.17 | |
United
| Professional | $12.06 | $14.17 | $32.72 |