| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $1,905.46 | $5,495.41 | |
Aetna
| Facility | 53 | $389.05 | $1,698.24 | $1,698.24 |
Aetna
| Professional | $93.33 | $234.42 | $707.95 | |
BCBS
| Facility | $1,513.56 | $3,630.78 | $8,912.51 | |
BCBS
| Professional | $97.72 | $165.96 | $416.87 | |
Cigna
| Facility | $169.82 | $812.83 | $1,949.84 | |
Cigna
| Facility | 53 | $33.88 | $33.88 | $33.88 |
Cigna
| Professional | $109.65 | $251.19 | $575.44 | |
United
| Facility | $562.34 | $1,949.84 | $4,677.35 | |
United
| Professional | $93.33 | $213.80 | $446.68 |