| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.16 | $133.35 | $211.71 | |
BCBS
| Facility | $739.00 | $739.00 | $739.00 | |
BCBS
| Professional | $217.00 | $327.00 | $526.00 | |
BCBS
| Professional | 50 | $325.50 | $525.00 | $789.00 |
Cigna
| Professional | $156.80 | $254.88 | $415.30 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $226.86 | $325.83 | $701.99 |