| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.80 | $78.80 | $81.70 | |
Aetna
| Professional | $78.80 | $78.80 | $87.53 | |
BCBS
| Facility | $3,048.61 | $3,699.63 | $4,977.18 | |
BCBS
| Professional | $78.80 | $78.80 | $99.15 | |
Cigna
| Facility | $78.79 | $78.79 | $78.79 | |
Cigna
| Professional | $61.42 | $78.79 | $78.79 | |
United
| Professional | $78.80 | $78.80 | $78.80 |