| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.83 | $15.83 | $15.83 | |
Aetna
| Professional | $15.45 | $15.83 | $15.83 | |
BCBS
| Facility | $7.06 | $7.06 | $7.06 | |
BCBS
| Professional | $7.06 | $7.06 | $7.06 | |
Cigna
| Facility | $15.83 | $15.83 | $15.83 | |
United
| Professional | $6.92 | $17.30 | $17.30 |