| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.36 | $1,518.41 | $3,955.04 | |
Aetna
| Professional | $58.67 | $87.30 | $120.91 | |
Aetna
| Professional | 52 | $26.92 | $43.65 | $57.98 |
BCBS
| Professional | $69.56 | $96.54 | $160.83 | |
Cigna
| Professional | $70.37 | $119.78 | $229.36 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $64.42 | $125.43 | $211.65 |