| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.96 | $1,889.82 | $2,518.88 | |
Aetna
| Professional | $48.96 | $51.41 | $58.76 | |
BCBS
| Facility | $48.48 | $48.48 | $48.48 | |
Cigna
| Facility | $44.24 | $48.96 | $48.96 | |
Cigna
| Professional | $48.96 | $48.96 | $48.96 | |
United
| Professional | $48.96 | $48.96 | $60.47 |