| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.49 | $9.49 | $13.29 | |
Aetna
| Professional | $9.49 | $9.49 | $9.49 | |
BCBS
| Facility | $9.02 | $9.02 | $13.53 | |
BCBS
| Professional | $9.02 | $9.02 | $9.19 | |
United
| Professional | $9.49 | $9.49 | $10.46 |