| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $619.38 | $1,413.55 | $4,048.90 | |
Aetna
| Facility | 50 | $2,219.63 | $2,219.63 | $2,219.63 |
Aetna
| Professional | $33.68 | $53.45 | $76.38 | |
BCBS
| Professional | $36.89 | $55.74 | $95.16 | |
Cigna
| Professional | $52.16 | $77.12 | $103.03 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $46.86 | $74.15 | $113.41 |