| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.14 | $12.14 | $12.14 | |
Aetna
| Professional | $12.14 | $12.14 | $12.14 | |
BCBS
| Professional | $12.32 | $14.49 | $14.49 | |
Cigna
| Facility | $11.45 | $11.45 | $11.45 | |
Cigna
| Professional | $12.14 | $12.14 | $17.18 | |
United
| Professional | $12.14 | $12.14 | $12.14 |