| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $354.81 | $660.69 | |
Aetna
| Professional | $346.74 | $416.87 | $660.69 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $0.02 | $16.60 | $39.81 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 |