| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.12 | $479.79 | $1,532.68 | |
Aetna
| Facility | 50 | $492.10 | $492.10 | $492.10 |
Aetna
| Professional | $35.74 | $57.27 | $540.00 | |
Aetna
| Professional | 50 | $103.79 | $103.79 | $219.77 |
BCBS
| Facility | $316.00 | $316.00 | $316.00 | |
BCBS
| Professional | $70.00 | $106.00 | $160.00 | |
BCBS
| Professional | 50 | $105.00 | $159.00 | $240.00 |
Cigna
| Professional | $50.80 | $82.82 | $154.09 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $67.73 | $103.78 | $196.31 |