| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.46 | $39.46 | $39.46 | |
Aetna
| Professional | $12.14 | $12.14 | $12.63 | |
BCBS
| Facility | $12.14 | $12.14 | $12.82 | |
BCBS
| Professional | $12.14 | $12.14 | $12.14 | |
Cigna
| Facility | $11.45 | $12.14 | $12.14 | |
Cigna
| Professional | $12.14 | $12.14 | $12.14 | |
United
| Professional | $12.14 | $12.14 | $12.14 |