| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.29 | $34.29 | $34.29 | |
Aetna
| Professional | $24.54 | $34.29 | $39.65 | |
BCBS
| Professional | $29.00 | $29.00 | $29.00 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
United
| Professional | $13.34 | $20.01 | $32.45 |