| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
BCBS
| Facility | $15.19 | $15.19 | $15.19 | |
BCBS
| Professional | $9.85 | $14.49 | $14.49 | |
Cigna
| Professional | $25.19 | $25.19 | $31.49 |