| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $14.13 | $14.13 | $138.04 | |
BCBS
| Facility | $69.18 | $69.18 | $1,621.81 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Medica
| Facility | $14.79 | $25.12 | $229.09 | |
United
| Facility | $218.78 | $223.87 | $302.00 |