| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.34 | $189.60 | $692.67 | |
Aetna
| Professional | $67.47 | $116.18 | $253.65 | |
Aetna
| Professional | 52 | $35.90 | $35.90 | $58.89 |
BCBS
| Professional | $92.00 | $146.00 | $202.00 | |
Cigna
| Professional | $86.42 | $124.22 | $196.18 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $106.42 | $190.19 | $343.20 |