| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.51 | $90.51 | $9,083.69 | |
Aetna
| Professional | $27.85 | $28.12 | $28.96 | |
BCBS
| Facility | $23.26 | $26.50 | $73.12 | |
BCBS
| Professional | $27.85 | $27.85 | $27.85 | |
Cigna
| Facility | $22.17 | $27.85 | $27.85 | |
Cigna
| Professional | $27.85 | $27.85 | $27.85 | |
United
| Professional | $27.85 | $29.52 | $31.00 |