| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Facility | $11.60 | $11.60 | $52.52 | |
BCBS
| Professional | $0.67 | $0.67 | $8.27 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
United
| Professional | $8.42 | $8.42 | $8.42 |