| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $619.38 | $713.20 | $3,706.14 | |
Aetna
| Facility | 50 | $635.47 | $635.47 | $3,004.05 |
Aetna
| Professional | $41.81 | $65.14 | $101.82 | |
Aetna
| Professional | 50 | $113.55 | $113.55 | $122.20 |
BCBS
| Professional | $45.44 | $66.00 | $114.73 | |
Cigna
| Professional | $60.99 | $94.28 | $127.06 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $54.90 | $89.15 | $151.71 |