| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.44 | $9.44 | $9.44 | |
Aetna
| Professional | $9.44 | $9.44 | $9.44 | |
BCBS
| Facility | $11.56 | $11.56 | $13.88 | |
BCBS
| Professional | $11.80 | $15.00 | $30.00 | |
Cigna
| Facility | $18.84 | $18.84 | $18.84 | |
Cigna
| Professional | $4.09 | $10.74 | $13.42 | |
United
| Professional | $3.89 | $3.96 | $6.99 |