| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.15 | $1,295.00 | $3,109.00 | |
Aetna
| Professional | $83.79 | $126.69 | $171.90 | |
BCBS
| Facility | $1,755.26 | $1,755.26 | $2,106.31 | |
BCBS
| Professional | $94.30 | $138.68 | $210.99 | |
CareSource
| Professional | $151.22 | $151.22 | $151.22 | |
Cigna
| Professional | $81.52 | $139.29 | $234.49 | |
United
| Facility | $590.00 | $1,263.00 | $2,558.00 | |
United
| Professional | $140.66 | $169.76 | $268.27 |