| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.97 | $6.97 | $6.97 | |
Aetna
| Professional | $6.97 | $6.97 | $10.25 | |
BCBS
| Professional | $12.03 | $14.15 | $14.15 | |
Cigna
| Facility | $9.67 | $9.67 | $9.67 | |
Cigna
| Professional | $10.25 | $10.25 | $14.50 | |
United
| Professional | $10.25 | $10.25 | $10.25 |