| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.56 | $48.56 | $48.56 | |
Aetna
| Professional | $45.70 | $47.42 | $48.56 | |
BCBS
| Facility | $147.22 | $147.22 | $284.13 | |
BCBS
| Professional | $147.22 | $147.22 | $165.56 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
United
| Facility | $1,796.96 | $2,261.96 | $2,600.86 | |
United
| Professional | $57.13 | $57.13 | $63.00 |