| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.32 | $354.30 | $3,955.04 | |
Aetna
| Professional | $1.76 | $4.37 | $7.40 | |
Aetna
| Professional | 52 | $0.88 | $2.19 | $3.80 |
BCBS
| Professional | $2.00 | $4.05 | $9.57 | |
Cigna
| Professional | $2.06 | $6.49 | $12.31 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $5.22 | $8.99 | $13.26 |