| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.69 | $4.69 | $5.45 | |
Aetna
| Professional | $4.69 | $4.74 | $5.21 | |
BCBS
| Facility | $478.53 | $580.72 | $781.26 | |
BCBS
| Professional | $4.69 | $4.69 | $4.69 | |
Cigna
| Facility | $4.69 | $4.69 | $4.69 | |
Cigna
| Professional | $4.69 | $4.69 | $4.69 | |
United
| Professional | $4.69 | $4.69 | $4.69 |