| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $8.91 | $21.38 | |
BCBS
| Facility | $10.47 | $10.47 | $10.47 | |
BCBS
| Professional | $10.47 | $10.47 | $10.47 | |
Cigna
| Professional | $4.37 | $4.37 | $8.91 | |
United
| Professional | $4.37 | $4.57 | $5.37 |