| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.79 | $31.79 | $31.79 | |
Aetna
| Professional | $9.77 | $9.77 | $10.17 | |
BCBS
| Facility | $9.91 | $9.91 | $12.13 | |
BCBS
| Professional | $9.77 | $9.77 | $9.77 | |
Cigna
| Facility | $9.22 | $9.77 | $9.77 | |
Cigna
| Professional | $9.77 | $9.77 | $9.77 | |
United
| Professional | $9.77 | $9.77 | $9.77 |