| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.62 | $83.81 | $1,080.00 | |
Aetna
| Professional | 50 | $131.04 | $131.04 | $216.00 |
BCBS
| Facility | $316.00 | $316.00 | $316.00 | |
BCBS
| Professional | $87.00 | $131.00 | $241.00 | |
BCBS
| Professional | 50 | $130.50 | $235.50 | $361.50 |
Cigna
| Professional | $62.37 | $108.61 | $190.93 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $97.11 | $151.13 | $266.50 |