| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.83 | $66.83 | $66.83 | |
Aetna
| Professional | $21.37 | $21.37 | $49.50 | |
BCBS
| Professional | $41.78 | $41.78 | $41.78 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
United
| Professional | $11.59 | $16.23 | $50.29 |