| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $2.14 | $10.00 | $10.00 | |
BCBS
| Facility | $11.48 | $11.48 | $12.02 | |
BCBS
| Professional | $11.75 | $11.75 | $11.75 | |
Cigna
| Facility | $10.47 | $10.47 | $10.47 | |
Cigna
| Professional | $10.47 | $10.47 | $10.47 | |
United
| Professional | $0.76 | $10.23 | $10.72 |