| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.70 | $14.70 | $14.70 | |
Aetna
| Professional | $14.70 | $14.70 | $14.73 | |
BCBS
| Professional | $14.48 | $17.04 | $17.04 | |
Cigna
| Facility | $13.90 | $13.90 | $13.90 | |
Cigna
| Professional | $14.73 | $20.84 | $20.84 | |
United
| Professional | $14.73 | $14.73 | $14.73 |