| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $72.50 | $102.65 | $136.50 | |
Aetna
| Professional | 52 | $32.84 | $51.33 | $68.94 |
BCBS
| Professional | $84.65 | $113.08 | $187.82 | |
Cigna
| Professional | $85.77 | $141.47 | $268.91 | |
United
| Facility | $416.84 | $1,183.00 | $4,915.00 | |
United
| Professional | $91.93 | $134.25 | $249.83 |