| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.59 | $3.59 | $3.63 | |
Aetna
| Professional | $3.59 | $3.59 | $6.23 | |
BCBS
| Facility | $6,863.89 | $8,329.65 | $11,206.05 | |
Cigna
| Facility | $3.59 | $3.59 | $3.59 | |
Cigna
| Professional | $3.59 | $3.59 | $5.54 | |
United
| Facility | $3.55 | $3.55 | $4.33 | |
United
| Professional | $3.58 | $3.59 | $3.59 |