| 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 | $4,974.05 | $6,036.24 | $8,120.67 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $83.20 | $90.35 | $123.45 |