| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.47 | $6.47 | $6.47 | |
Aetna
| Professional | $6.47 | $6.47 | $6.47 | |
BCBS
| Facility | $11.09 | $11.09 | $13.31 | |
BCBS
| Professional | $8.09 | $10.00 | $21.00 | |
Cigna
| Facility | $13.26 | $13.26 | $13.26 | |
Cigna
| Professional | $6.75 | $6.75 | $8.44 | |
United
| Professional | $2.72 | $3.73 | $9.03 |