| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.57 | $0.57 | $0.57 | |
Aetna
| Professional | $0.56 | $0.57 | $0.57 | |
BCBS
| Facility | $0.12 | $0.12 | $0.12 | |
BCBS
| Professional | $0.12 | $0.12 | $0.12 | |
United
| Professional | $0.06 | $0.12 | $0.32 |