| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.61 | $17.61 | $17.61 | |
Aetna
| Professional | $17.20 | $17.20 | $17.61 | |
BCBS
| Facility | $3.08 | $3.08 | $3.08 | |
BCBS
| Professional | $3.08 | $3.08 | $3.08 | |
Cigna
| Facility | $17.92 | $17.92 | $17.92 | |
United
| Professional | $18.64 | $20.72 | $20.72 |