| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $18.14 | $18.14 | |
Aetna
| Professional | $13.00 | $18.14 | $21.00 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
United
| Professional | $7.06 | $10.59 | $17.16 |