| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $1.00 | $2.00 | $7.94 | |
BCBS
| Facility | $60.26 | $109.65 | $281.84 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medica
| Facility | $2.69 | $95.50 | $128.82 | |
United
| Facility | $93.33 | $95.50 | $131.83 |