| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $6.03 | $6.03 | |
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
BCBS
| Facility | $2.34 | $2.45 | $2.45 | |
BCBS
| Professional | $2.04 | $2.04 | $239.88 | |
Cigna
| Facility | $64.57 | $64.57 | $50,118.72 | |
Cigna
| Professional | $2.75 | $4.57 | $407.38 | |
United
| Facility | $0.04 | $1.66 | $4.17 | |
United
| Professional | $1.66 | $4.17 | $4.27 |