| 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 | $73.93 | $79.77 | $1,865.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Medica
| Facility | $3.44 | $3.44 | $263.91 | |
United
| Facility | $192.34 | $208.44 | $263.91 |