| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.76 | $10.76 | $10.78 | |
Aetna
| Professional | $10.76 | $10.76 | $18.55 | |
BCBS
| Facility | $33,038.96 | $40,094.32 | $53,939.70 | |
Cigna
| Facility | $10.76 | $10.76 | $10.76 | |
Cigna
| Professional | $10.76 | $10.76 | $15.28 | |
United
| Professional | $10.76 | $10.76 | $10.76 |