| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.71 | $12.71 | $12.71 | |
Aetna
| Professional | $3.91 | $3.95 | $4.07 | |
BCBS
| Facility | $4.49 | $4.49 | $15.30 | |
BCBS
| Professional | $3.91 | $3.91 | $3.91 | |
Cigna
| Facility | $3.69 | $3.91 | $3.91 | |
Cigna
| Professional | $3.91 | $3.91 | $3.91 | |
United
| Professional | $3.91 | $3.91 | $3.91 |