| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.42 | $61.28 | $64.31 | |
Aetna
| Professional | $15.69 | $15.69 | $15.69 | |
BCBS
| Professional | $6.53 | $7.68 | $7.68 | |
Cigna
| Facility | $14.81 | $14.81 | $14.81 | |
Cigna
| Professional | $15.69 | $15.69 | $22.21 | |
United
| Professional | $15.69 | $15.69 | $15.69 |