| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.05 | $1.05 | $1.05 | |
Aetna
| Professional | $1.05 | $1.05 | $1.05 | |
BCBS
| Professional | $37.17 | $37.17 | $37.17 | |
Cigna
| Professional | $91.56 | $91.56 | $91.56 | |
United
| Professional | $43.60 | $65.40 | $128.72 |