| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.55 | $11.55 | $11.55 | |
Aetna
| Professional | $11.54 | $11.54 | $11.55 | |
BCBS
| Professional | $11.63 | $13.68 | $13.68 | |
Cigna
| Facility | $10.88 | $10.88 | $10.88 | |
Cigna
| Professional | $11.54 | $11.54 | $16.32 | |
United
| Professional | $11.54 | $11.54 | $11.54 |