| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.45 | $65.45 | $65.45 | |
Aetna
| Professional | $20.93 | $29.14 | $50.86 | |
BCBS
| Professional | $51.89 | $51.89 | $51.89 | |
Cigna
| Professional | $13.93 | $13.93 | $13.93 | |
United
| Professional | $15.16 | $18.76 | $52.98 |