| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.68 | $97.19 | $300.47 | |
BCBS
| Facility | $739.00 | $739.00 | $739.00 | |
BCBS
| Professional | $163.00 | $263.00 | $739.00 | |
BCBS
| Professional | 50 | $244.50 | $474.00 | $1,108.50 |
Cigna
| Professional | $107.97 | $279.95 | $484.30 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $283.74 | $417.23 | $778.70 |