| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $602.56 | |
Aetna
| Professional | $51.29 | $51.29 | $67.61 | |
BCBS
| Facility | $323.59 | $371.54 | $426.58 | |
BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.57 | $64.57 | $169.82 | |
United
| Facility | $54.95 | $154.88 | $389.05 | |
United
| Professional | $69.18 | $107.15 | $154.88 |