| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $3,467.37 | $3,467.37 | |
Aetna
| Professional | $14.13 | $14.13 | $14.13 | |
BCBS
| Facility | $91.20 | $93.33 | $93.33 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Facility | $56.23 | $141.25 | $218.78 |