| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,332.54 | $9,332.54 | $9,332.54 | |
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
BCBS
| Facility | $2.04 | $2.04 | $2.04 | |
BCBS
| Professional | $2.04 | $2.04 | $2.04 | |
Cigna
| Facility | $0.33 | $0.33 | $0.33 | |
Cigna
| Professional | $0.33 | $0.33 | $0.33 | |
United
| Professional | $0.30 | $0.33 | $0.35 |