| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.44 | $44.44 | $44.44 | |
Aetna
| Professional | $31.81 | $44.44 | $52.47 | |
BCBS
| Professional | $38.00 | $38.00 | $38.00 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
United
| Professional | $17.28 | $25.93 | $42.01 |