| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.32 | $5.32 | $5.34 | |
Aetna
| Professional | $5.32 | $5.32 | $9.19 | |
BCBS
| Facility | $6,863.89 | $8,329.65 | $11,206.05 | |
BCBS
| Professional | $5.32 | $5.32 | $5.32 | |
Cigna
| Facility | $5.32 | $5.32 | $5.32 | |
Cigna
| Professional | $5.32 | $5.32 | $5.32 | |
United
| Professional | $5.32 | $5.32 | $5.32 |