| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.66 | $12.66 | $12.66 | |
Aetna
| Professional | $6.68 | $7.74 | $12.66 | |
BCBS
| Facility | $20.50 | $29.03 | $32.78 | |
BCBS
| Professional | $9.50 | $9.50 | $13.57 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
United
| Professional | $5.52 | $7.24 | $12.06 |