| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.50 | $14.50 | $14.50 | |
Aetna
| Professional | $4.46 | $4.46 | $4.63 | |
BCBS
| Facility | $4.58 | $4.58 | $5.17 | |
BCBS
| Professional | $4.46 | $4.46 | $4.46 | |
Cigna
| Facility | $4.21 | $4.46 | $4.46 | |
Cigna
| Professional | $4.46 | $4.46 | $4.46 | |
United
| Professional | $4.46 | $4.46 | $4.46 |