| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.30 | $11.30 | $11.30 | |
Aetna
| Professional | $8.49 | $8.49 | $10.40 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $3.75 | $3.75 | $4.69 | |
United
| Professional | $11.40 | $17.30 | $28.34 |