| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.00 | $1,728.00 | $2,377.00 | |
Aetna
| Facility | 54 | $1,225.10 | $1,225.10 | $1,225.10 |
Aetna
| Professional | $755.22 | $1,194.69 | $1,715.15 | |
Aetna
| Professional | 55 | $119.47 | $179.20 | $245.02 |
BCBS
| Facility | $4,486.62 | $5,444.73 | $7,324.90 | |
BCBS
| Professional | $877.39 | $1,253.41 | $1,378.75 | |
Cigna
| Professional | $335.00 | $849.08 | $1,206.43 | |
United
| Facility | $1,074.00 | $3,816.00 | $7,227.00 | |
United
| Professional | $669.92 | $836.55 | $1,163.25 |