| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.79 | $94.55 | $9,291.87 | |
Aetna
| Professional | $78.80 | $87.53 | $106.37 | |
BCBS
| Facility | $61.90 | $61.90 | $61.90 | |
Cigna
| Facility | $29.40 | $78.79 | $78.79 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
United
| Facility | $78.75 | $78.75 | $78.75 | |
United
| Professional | $78.80 | $78.80 | $97.32 |