| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.54 | $14.54 | $14.54 | |
Aetna
| Professional | $3.50 | $4.57 | $14.54 | |
BCBS
| Facility | $10.76 | $15.24 | $17.20 | |
BCBS
| Professional | $4.98 | $4.98 | $7.12 | |
Cigna
| Professional | $3.11 | $3.11 | $3.11 | |
United
| Professional | $2.90 | $4.18 | $6.33 |