| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.92 | $2.92 | $2.92 | |
Aetna
| Professional | $2.92 | $2.92 | $5.01 | |
BCBS
| Professional | $2.92 | $2.92 | $2.92 | |
Cigna
| Facility | $2.92 | $2.92 | $2.92 | |
Cigna
| Professional | $2.92 | $2.92 | $5.42 | |
United
| Professional | $2.92 | $2.92 | $2.92 |