| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.23 | $12.23 | $12.23 | |
Aetna
| Professional | $8.75 | $12.23 | $14.15 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
United
| Professional | $4.76 | $7.13 | $11.57 |