| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.12 | $8,228.48 | $8,891.75 | |
Aetna
| Professional | $48.96 | $48.96 | $50.92 | |
BCBS
| Facility | $48.03 | $48.03 | $75.84 | |
BCBS
| Professional | $48.96 | $48.96 | $48.96 | |
Cigna
| Facility | $46.19 | $48.96 | $48.96 | |
Cigna
| Professional | $48.96 | $48.96 | $48.96 | |
United
| Professional | $48.96 | $48.96 | $54.84 |