| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.38 | $4.38 | $4.38 | |
Aetna
| Professional | $4.12 | $4.38 | $4.38 | |
BCBS
| Facility | $36.22 | $46.34 | $52.64 | |
BCBS
| Professional | $12.06 | $14.19 | $23.12 | |
Cigna
| Professional | $13.56 | $13.56 | $13.56 | |
United
| Professional | $8.81 | $16.22 | $20.27 |