| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $2.22 | $2.25 | |
Aetna
| Professional | $2.22 | $2.22 | $3.88 | |
BCBS
| Facility | $6,863.89 | $8,329.65 | $11,206.05 | |
BCBS
| Professional | $2.22 | $2.22 | $2.22 | |
Cigna
| Facility | $2.22 | $2.22 | $2.22 | |
Cigna
| Professional | $2.22 | $2.22 | $2.22 | |
United
| Professional | $2.22 | $2.22 | $2.22 |