| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $3.44 | |
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
BCBS
| Facility | $193.04 | $193.04 | $193.04 | |
BCBS
| Professional | $6.17 | $6.68 | $6.68 | |
Cigna
| Facility | $82.64 | $84.63 | $90.61 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $124.08 | $167.76 | $231.25 |