| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.86 | $290.86 | $961.20 | |
Aetna
| Professional | $4.86 | $4.86 | $5.39 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $4.86 | $4.86 | $10.45 | |
Cigna
| Facility | $4.86 | $4.86 | $4.86 | |
Cigna
| Professional | $4.86 | $4.86 | $8.91 | |
United
| Professional | $4.86 | $4.86 | $4.86 |