| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
BCBS
| Professional | $15.01 | $25.50 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $11.70 | $11.70 | $11.70 | |
United
| Professional | $50.00 | $50.00 | $60.00 |