| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.64 | $9.64 | $9.64 | |
Aetna
| Professional | $9.64 | $9.64 | $9.64 | |
BCBS
| Facility | $14.54 | $14.54 | $17.45 | |
BCBS
| Professional | $12.05 | $15.00 | $31.00 | |
Cigna
| Facility | $19.54 | $19.54 | $19.54 | |
Cigna
| Professional | $5.78 | $11.15 | $13.94 | |
United
| Professional | $5.78 | $6.99 | $11.85 |