| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.85 | $28.72 | $410.72 | |
Aetna
| Professional | $9.86 | $9.96 | $10.95 | |
BCBS
| Professional | $9.86 | $9.86 | $35.70 | |
Cigna
| Facility | $9.86 | $9.86 | $9.86 | |
Cigna
| Professional | $9.86 | $9.86 | $97.58 | |
United
| Professional | $9.86 | $9.86 | $9.86 |