| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.07 | $975.00 | $2,812.00 | |
Aetna
| Professional | $31.76 | $54.57 | $79.13 | |
BCBS
| Professional | $54.31 | $72.54 | $96.01 | |
CareSource
| Professional | $68.31 | $68.31 | $68.31 | |
Cigna
| Professional | $45.90 | $69.09 | $103.65 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $54.01 | $76.51 | $134.47 |