| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $279.36 | $839.56 | $1,815.42 | |
BCBS
| Professional | $648.00 | $877.00 | $3,169.00 | |
BCBS
| Professional | 50 | $972.00 | $1,315.50 | $4,753.50 |
Cigna
| Professional | $405.72 | $1,014.00 | $2,762.32 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $1,990.80 | $2,476.17 | $4,668.41 |