| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.24 | $26.24 | $26.24 | |
Aetna
| Professional | $18.78 | $26.24 | $30.35 | |
BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
United
| Professional | $10.21 | $15.31 | $24.81 |