| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.88 | $891.56 | $3,706.14 | |
Aetna
| Facility | 50 | $2,827.11 | $2,827.11 | $2,827.11 |
Aetna
| Professional | $55.86 | $87.32 | $135.44 | |
Aetna
| Professional | 50 | $184.73 | $184.73 | $184.73 |
BCBS
| Professional | $59.16 | $96.88 | $171.07 | |
Cigna
| Professional | $86.14 | $126.30 | $186.67 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $83.38 | $133.62 | $205.80 |