| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.60 | $9.60 | $9.60 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
BCBS
| Facility | $15.00 | $15.00 | $28.95 | |
BCBS
| Professional | $13.00 | $13.00 | $13.00 | |
Cigna
| Professional | $14.53 | $14.53 | $14.53 | |
United
| Professional | $15.75 | $15.75 | $18.89 |