| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.63 | $3.63 | $5.61 | |
Aetna
| Professional | $3.62 | $3.63 | $4.03 | |
BCBS
| Facility | $478.53 | $580.72 | $781.26 | |
BCBS
| Professional | $3.63 | $3.63 | $3.63 | |
Cigna
| Facility | $3.63 | $3.63 | $3.63 | |
Cigna
| Professional | $3.63 | $3.63 | $3.63 | |
United
| Professional | $3.63 | $3.63 | $3.63 |