| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $14.13 | $16.98 | $26.92 | |
BCBS
| Professional | $19.50 | $25.70 | $44.67 | |
Cigna
| Professional | $16.98 | $16.98 | $18.20 | |
United
| Professional | $23.99 | $33.11 | $48.98 |