| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $2,041.74 | $4,073.80 | |
Aetna
| Facility | 50 | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna
| Professional | $58.88 | $151.36 | $389.05 | |
Aetna
| Professional | 50 | $117.49 | $288.40 | $602.56 |
BCBS
| Professional | $52.48 | $89.13 | $162.18 | |
Cigna
| Professional | $70.79 | $123.03 | $186.21 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 | |
United
| Professional | $60.26 | $100.00 | $173.78 |