| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $55.00 | $143.51 | |
Aetna
| Professional | $4.79 | $4.79 | $5.31 | |
BCBS
| Professional | $4.79 | $4.79 | $8.88 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $4.79 | $4.79 | $67.84 | |
United
| Professional | $4.79 | $4.79 | $4.79 |