| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.80 | $61.80 | $61.80 | |
Aetna
| Professional | $61.79 | $61.80 | $68.65 | |
BCBS
| Facility | $1,494.66 | $1,813.84 | $2,440.19 | |
Cigna
| Facility | $61.80 | $61.80 | $61.80 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
United
| Professional | $61.80 | $61.80 | $169.20 |