| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.94 | $130.94 | $3,877.74 | |
Aetna
| Professional | $40.29 | $40.29 | $41.91 | |
BCBS
| Facility | $43.50 | $44.59 | $63.75 | |
BCBS
| Professional | $40.29 | $40.29 | $40.29 | |
Cigna
| Facility | $40.29 | $40.29 | $40.29 | |
Cigna
| Professional | $40.29 | $40.29 | $40.29 | |
United
| Professional | $40.29 | $40.29 | $44.85 |