| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.74 | $4,531.35 | $8,153.84 | |
Aetna
| Professional | $50.74 | $53.27 | $68.48 | |
BCBS
| Facility | $48.88 | $48.88 | $48.88 | |
Cigna
| Facility | $40.33 | $50.74 | $50.74 | |
Cigna
| Professional | $50.74 | $50.74 | $50.74 | |
United
| Professional | $50.74 | $50.74 | $64.95 |