| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $16.98 | |
Aetna
| Professional | $10.96 | $14.13 | $16.98 | |
BCBS
| Facility | $30.20 | $30.20 | $33.88 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $12.02 | $12.02 | $21.88 | |
United
| Professional | $11.22 | $15.85 | $30.20 |