| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.53 | $47.53 | $48.38 | |
Aetna
| Professional | $47.53 | $47.53 | $52.80 | |
BCBS
| Facility | $1,921.89 | $2,332.31 | $3,137.71 | |
BCBS
| Professional | $60.53 | $60.53 | $86.25 | |
Cigna
| Facility | $47.52 | $47.52 | $47.52 | |
Cigna
| Professional | $47.52 | $47.52 | $63.62 | |
United
| Professional | $47.53 | $47.53 | $47.53 |