| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.97 | $34.97 | $34.97 | |
Aetna
| Professional | $10.76 | $10.76 | $11.19 | |
BCBS
| Facility | $10.78 | $10.78 | $13.04 | |
BCBS
| Professional | $10.76 | $10.76 | $10.76 | |
Cigna
| Facility | $10.15 | $10.76 | $10.76 | |
Cigna
| Professional | $10.76 | $10.76 | $10.76 | |
United
| Professional | $10.76 | $10.76 | $10.76 |