| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.46 | $25.46 | $30.77 | |
Aetna
| Professional | $25.46 | $25.46 | $26.73 | |
BCBS
| Facility | $5,177.85 | $6,283.58 | $8,453.43 | |
BCBS
| Professional | $25.46 | $25.46 | $37.59 | |
Cigna
| Facility | $25.46 | $25.46 | $25.46 | |
Cigna
| Professional | $25.46 | $25.46 | $44.47 | |
United
| Professional | $25.46 | $25.46 | $28.52 |