| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.75 | $17.75 | $17.75 | |
Aetna
| Professional | $5.46 | $5.46 | $5.68 | |
BCBS
| Facility | $5.19 | $5.19 | $6.12 | |
BCBS
| Professional | $5.46 | $5.46 | $5.46 | |
Cigna
| Facility | $5.15 | $5.46 | $5.46 | |
Cigna
| Professional | $5.46 | $5.46 | $5.46 | |
United
| Professional | $2.20 | $5.46 | $5.46 |