| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.47 | $63.68 | $63.68 | |
Aetna
| Professional | $63.68 | $63.68 | $107.44 | |
BCBS
| Facility | $5,177.85 | $6,283.58 | $8,453.43 | |
BCBS
| Professional | $63.68 | $63.68 | $94.79 | |
Cigna
| Facility | $63.68 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $87.05 | |
United
| Professional | $63.68 | $63.68 | $63.68 |