| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.22 | $690.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $582.72 | |
United
| Facility | $304.00 | $755.00 | $1,533.00 |
Sgmdsc Flx Dired Sbmcsl Njx Any Sbst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.22 | $690.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $582.72 | |
United
| Facility | $304.00 | $755.00 | $1,533.00 |