| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $6.47 | |
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
BCBS
| Facility | $1,343.50 | $2,119.07 | $3,372.21 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Medica
| Facility | $3.44 | $3.61 | $168.18 | |
United
| Facility | $35.17 | $168.18 | $199.50 |