| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.82 | $95.92 | $5,721.86 | |
Aetna
| Professional | 50 | $211.29 | $211.29 | $1,054.34 |
BCBS
| Professional | $120.00 | $193.00 | $317.00 | |
BCBS
| Professional | 50 | $180.00 | $295.50 | $475.50 |
Cigna
| Professional | $82.82 | $137.44 | $249.18 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $142.11 | $190.86 | $332.78 |