| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $43.65 | |
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
BCBS
| Professional | $5.37 | $5.75 | $10.72 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $3.98 | $3.98 | $3.98 |