| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
BCBS
| Facility | $0.11 | $0.11 | $0.11 | |
BCBS
| Professional | $0.11 | $0.11 | $0.11 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
United
| Facility | $0.05 | $0.05 | $0.32 | |
United
| Professional | $0.05 | $0.12 | $0.14 |