| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.27 | $10.27 | $10.68 | |
BCBS
| Facility | $10.16 | $10.16 | $12.75 | |
BCBS
| Professional | $10.27 | $10.27 | $10.27 | |
Cigna
| Facility | $9.69 | $10.27 | $10.27 | |
Cigna
| Professional | $10.27 | $10.27 | $10.27 | |
United
| Professional | $10.27 | $10.27 | $10.27 |