| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.59 | $101.13 | $7,668.96 | |
Aetna
| Professional | $40.29 | $40.70 | $3,642.99 | |
BCBS
| Facility | $40.29 | $64.36 | $127.68 | |
BCBS
| Professional | $40.29 | $40.29 | $50.86 | |
Cigna
| Facility | $34.63 | $40.29 | $53.45 | |
Cigna
| Professional | $40.29 | $40.29 | $40.29 | |
United
| Professional | $40.29 | $41.10 | $49.15 |