| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.98 | $30.98 | $30.98 | |
Aetna
| Professional | $22.18 | $30.98 | $35.84 | |
BCBS
| Professional | $26.00 | $26.00 | $26.00 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
United
| Professional | $12.05 | $18.07 | $29.30 |