| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.20 | $770.12 | $814.15 | |
Aetna
| Facility | 50 | $482.34 | $482.34 | $482.34 |
Aetna
| Professional | $58.09 | $99.72 | $990.00 | |
Aetna
| Professional | 50 | $84.99 | $164.07 | $164.07 |
BCBS
| Facility | $316.00 | $316.00 | $316.00 | |
BCBS
| Professional | $112.00 | $170.00 | $289.00 | |
BCBS
| Professional | 50 | $168.00 | $286.50 | $433.50 |
Cigna
| Professional | $84.47 | $141.22 | $246.32 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $124.11 | $170.30 | $340.61 |