| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.28 | $339.90 | $1,728.00 | |
Aetna
| Facility | 54 | $129.22 | $129.22 | $150.00 |
Aetna
| Professional | $136.69 | $172.29 | $210.00 | |
BCBS
| Facility | $217.70 | $264.19 | $355.42 | |
BCBS
| Professional | $106.43 | $167.81 | $198.02 | |
Cigna
| Professional | $129.09 | $220.24 | $441.65 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $157.28 | $187.44 | $218.07 |