| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.14 | $19.95 | |
BCBS
| Facility | $22.91 | $22.91 | $22.91 | |
BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $12.02 | $12.02 | $19.95 | |
United
| Professional | $8.91 | $10.00 | $11.75 |