| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.13 | $125.97 | $125.97 | |
Aetna
| Professional | $4.13 | $4.13 | $4.17 | |
BCBS
| Professional | $4.90 | $5.76 | $5.76 | |
Cigna
| Facility | $3.93 | $3.93 | $3.93 | |
Cigna
| Professional | $4.17 | $4.17 | $5.90 | |
United
| Professional | $4.17 | $4.17 | $4.17 |