| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $15.14 | $15.14 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $16.98 | $16.98 | $16.98 | |
United
| Professional | $15.49 | $15.85 | $23.99 |