| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.78 | $4.78 | $4.78 | |
BCBS
| Facility | $0.02 | $733.34 | $827.91 | |
Cigna
| Facility | $1,057.49 | $1,057.49 | $1,057.49 | |
Cigna
| Professional | $410.94 | $410.94 | $513.66 | |
United
| Professional | $125.17 | $214.58 | $515.80 |