| 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 | $85.09 | $186.77 | $10,457.11 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $87.67 | $127.03 | $222.76 |