| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.77 | $10.77 | $10.77 | |
Aetna
| Professional | $3.74 | $4.32 | $10.77 | |
BCBS
| Facility | $11.45 | $16.20 | $18.29 | |
BCBS
| Professional | $5.30 | $5.30 | $7.57 | |
Cigna
| Professional | $3.30 | $3.30 | $3.30 | |
United
| Professional | $3.08 | $4.04 | $6.73 |