| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $97.72 | $302.00 | |
Aetna
| Professional | $2.00 | $2.00 | $3.02 | |
BCBS
| Facility | $19.95 | $19.95 | $21.88 | |
Cigna
| Facility | $2.75 | $2.75 | $2.75 | |
Cigna
| Professional | $2.75 | $2.75 | $2.75 | |
United
| Professional | $2.63 | $2.75 | $5.01 |