| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $12.05 | $12.05 | |
Aetna
| Professional | $12.05 | $12.05 | $12.05 | |
BCBS
| Professional | $15.06 | $19.00 | $39.00 | |
Cigna
| Professional | $13.63 | $13.63 | $17.04 | |
United
| Professional | $5.05 | $5.05 | $12.05 |