| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.12 | $1.12 | $1.18 | |
Aetna
| Professional | $1.12 | $1.12 | $2.02 | |
BCBS
| Facility | $5,177.85 | $6,283.58 | $8,453.43 | |
Cigna
| Facility | $1.12 | $1.12 | $1.12 | |
Cigna
| Professional | $1.12 | $1.12 | $1.12 | |
United
| Facility | $1.12 | $1.12 | $1.26 | |
United
| Professional | $1.12 | $1.12 | $1.12 |