| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $27.54 | $27.54 | |
Aetna
| Professional | $14.13 | $14.13 | $144.54 | |
BCBS
| Facility | $1,258.93 | $1,995.26 | $3,235.94 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Medica
| Facility | $14.79 | $16.22 | $147.91 | |
United
| Facility | $38.02 | $128.82 | $223.87 |