| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.55 | $6,636.05 | $22,963.13 | |
Aetna
| Professional | $27.86 | $27.86 | $28.98 | |
BCBS
| Facility | $26.14 | $28.85 | $71.17 | |
BCBS
| Professional | $27.86 | $27.86 | $27.86 | |
Cigna
| Facility | $27.86 | $27.86 | $27.86 | |
Cigna
| Professional | $27.86 | $27.86 | $27.86 | |
United
| Professional | $27.86 | $27.86 | $31.01 |