| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $10.96 | $10.96 | $18.62 | |
BCBS
| Professional | $9.77 | $11.75 | $11.75 | |
Cigna
| Professional | $10.96 | $10.96 | $10.96 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $10.96 | $11.75 | $12.02 |