| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
BCBS
| Facility | $2.57 | $2.57 | $2.57 | |
Cigna
| Facility | $2.57 | $2.57 | $4.27 | |
Cigna
| Professional | $4.47 | $4.47 | $4.47 | |
United
| Professional | $4.47 | $4.47 | $6.92 |