| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.77 | $7.77 | $7.77 | |
Aetna
| Professional | $7.77 | $7.77 | $7.77 | |
BCBS
| Facility | $13.33 | $13.33 | $15.99 | |
BCBS
| Professional | $9.71 | $12.00 | $25.00 | |
Cigna
| Facility | $15.35 | $15.35 | $15.35 | |
Cigna
| Professional | $8.25 | $8.25 | $10.31 | |
United
| Professional | $3.26 | $4.49 | $10.86 |