| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $117.49 | $15,848.93 | |
Aetna
| Professional | $50.12 | $51.29 | $134.90 | |
BCBS
| Facility | $52.48 | $69.18 | $151.36 | |
BCBS
| Professional | $50.12 | $50.12 | $112.20 | |
Cigna
| Facility | $47.86 | $50.12 | $64.57 | |
Cigna
| Professional | $50.12 | $51.29 | $64.57 | |
United
| Facility | $48.98 | $51.29 | $89.13 | |
United
| Professional | $50.12 | $50.12 | $69.18 |