| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $63.10 | $63.10 | $83.18 | |
BCBS
| Facility | $5,370.32 | $6,309.57 | $8,511.38 | |
BCBS
| Professional | $64.57 | $64.57 | $95.50 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $64.57 | $64.57 | $173.78 | |
United
| Facility | $57.54 | $60.26 | $64.57 | |
United
| Professional | $56.23 | $64.57 | $64.57 |