| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.75 | $1.75 | $1.75 | |
Aetna
| Professional | $1.75 | $1.75 | $1.75 | |
BCBS
| Facility | $9.02 | $17.62 | $20.37 | |
BCBS
| Professional | $7.67 | $9.02 | $14.70 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 |