| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $16.22 | |
Aetna
| Professional | $15.85 | $15.85 | $302.00 | |
BCBS
| Facility | $208.93 | $346.74 | $524.81 | |
Cigna
| Professional | $281.84 | $281.84 | $281.84 | |
United
| Facility | $120.23 | $213.80 | $380.19 | |
United
| Professional | $117.49 | $117.49 | $117.49 |