| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.54 | $8,832.24 | $24,300.08 | |
Aetna
| Professional | $47.55 | $48.02 | $49.45 | |
BCBS
| Facility | $42.03 | $43.28 | $92.49 | |
BCBS
| Professional | $47.55 | $47.55 | $47.55 | |
Cigna
| Facility | $47.55 | $47.55 | $47.55 | |
Cigna
| Professional | $47.55 | $47.55 | $47.55 | |
United
| Professional | $47.55 | $47.55 | $52.93 |