| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.11 | $24.11 | $24.11 | |
Aetna
| Professional | $16.11 | $24.11 | $28.47 | |
BCBS
| Professional | $21.00 | $21.00 | $21.00 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
United
| Professional | $9.38 | $14.06 | $22.81 |