| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.04 | $5,242.26 | $18,612.70 | |
Aetna
| Professional | $31.09 | $31.39 | $32.33 | |
BCBS
| Facility | $20.76 | $20.89 | $51.00 | |
BCBS
| Professional | $20.41 | $20.41 | $20.41 | |
Cigna
| Facility | $18.05 | $20.41 | $20.41 | |
Cigna
| Professional | $20.41 | $20.41 | $20.41 | |
United
| Professional | $34.68 | $34.68 | $34.68 |