| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.00 | $54.00 | $54.00 | |
Aetna
| Professional | $52.09 | $54.00 | $89.80 | |
BCBS
| Facility | $1,921.89 | $2,332.31 | $3,137.71 | |
BCBS
| Professional | $52.94 | $52.94 | $53.68 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $52.06 | $54.00 | $54.00 | |
United
| Professional | $52.94 | $52.94 | $52.94 |