| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.55 | $9.55 | $9.55 | |
Aetna
| Professional | $3.98 | $13.49 | $74.13 | |
BCBS
| Facility | $4.79 | $4.79 | $5.13 | |
BCBS
| Professional | $4.79 | $4.79 | $4.79 | |
Cigna
| Facility | $4.57 | $4.79 | $4.79 | |
Cigna
| Professional | $4.79 | $4.79 | $4.79 | |
United
| Professional | $4.79 | $4.79 | $4.79 |