| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.10 | $0.10 | $0.10 | |
Aetna
| Professional | $0.10 | $0.10 | $0.10 | |
BCBS
| Facility | $0.12 | $0.12 | $0.12 | |
BCBS
| Professional | $0.12 | $0.12 | $0.12 | |
United
| Professional | $0.05 | $0.12 | $0.32 |