| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.57 | $7.57 | $7.57 | |
Aetna
| Professional | $7.57 | $7.57 | $7.95 | |
BCBS
| Facility | $1,494.66 | $1,813.84 | $2,440.19 | |
BCBS
| Professional | $6.64 | $6.64 | $6.64 | |
Cigna
| Facility | $6.77 | $6.77 | $6.77 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
United
| Professional | $7.57 | $7.57 | $7.57 |