| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.91 | $78.91 | $78.91 | |
Aetna
| Professional | $25.23 | $25.23 | $25.23 | |
BCBS
| Professional | $34.50 | $34.50 | $34.50 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
United
| Professional | $7.49 | $19.16 | $43.96 |