| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
BCBS
| Facility | $2.34 | $2.44 | $4.00 | |
BCBS
| Professional | $2.06 | $2.06 | $3.58 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $2.17 | $2.17 | $2.17 | |
United
| Professional | $1.67 | $4.17 | $4.17 |