| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.91 | $5,176.93 | $5,677.77 | |
Aetna
| Professional | $50.74 | $50.74 | $52.77 | |
BCBS
| Facility | $50.43 | $50.43 | $97.85 | |
BCBS
| Professional | $50.74 | $50.74 | $50.74 | |
Cigna
| Facility | $47.87 | $50.74 | $50.74 | |
Cigna
| Professional | $50.74 | $50.74 | $50.74 | |
United
| Professional | $50.74 | $50.74 | $56.83 |