| 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 | $0.80 | $0.87 | $1.47 | |
BCBS
| Professional | $1.00 | $1.00 | $10.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
United
| Professional | $43.87 | $56.90 | $56.90 |