| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.83 | $201.83 | $59,956.71 | |
Aetna
| Professional | $62.10 | $62.10 | $64.58 | |
BCBS
| Facility | $63.39 | $63.39 | $78.84 | |
BCBS
| Professional | $62.10 | $62.10 | $62.10 | |
Cigna
| Facility | $62.10 | $62.10 | $62.10 | |
Cigna
| Professional | $62.10 | $62.10 | $62.10 | |
United
| Professional | $62.10 | $62.10 | $69.13 |