| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.59 | $35.59 | $35.59 | |
Aetna
| Professional | $8.76 | $8.76 | $9.31 | |
BCBS
| Facility | $11.83 | $13.14 | $19.62 | |
Cigna
| Facility | $9.31 | $9.31 | $9.31 | |
Cigna
| Professional | $9.31 | $9.31 | $9.31 | |
United
| Professional | $10.95 | $10.95 | $10.95 |