| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.03 | $16,447.16 | $16,447.16 | |
Aetna
| Professional | $48.03 | $48.03 | $48.96 | |
BCBS
| Professional | $75.84 | $89.24 | $89.24 | |
Cigna
| Facility | $46.19 | $46.19 | $46.19 | |
Cigna
| Professional | $48.96 | $48.96 | $69.29 | |
United
| Professional | $48.96 | $48.96 | $54.84 |