| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $16.66 | $28.00 | $28.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Cigna
| Professional | $13.67 | $13.67 | $13.67 | |
United
| Professional | $4.67 | $6.24 | $11.37 |