| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.11 | $23.11 | $23.11 | |
Aetna
| Professional | $23.71 | $29.85 | $192.00 | |
BCBS
| Facility | $100.00 | $420.00 | $11,662.50 | |
BCBS
| Professional | $29.74 | $34.99 | $48.48 | |
Cigna
| Facility | $33.19 | $33.19 | $33.19 | |
Cigna
| Professional | $34.09 | $39.78 | $42.86 | |
United
| Professional | $24.09 | $30.86 | $52.51 |