| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.02 | $16.98 | |
BCBS
| Professional | $19.95 | $23.44 | $23.44 | |
Cigna
| Professional | $10.47 | $10.47 | $10.47 | |
Medica
| Professional | $12.59 | $15.49 | $77.62 | |
United
| Professional | $12.59 | $15.49 | $21.38 |