| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $935.90 | $1,990.00 | $3,324.00 | |
Aetna
| Facility | 54 | $701.93 | $701.93 | $1,052.89 |
Aetna
| Professional | $663.44 | $935.90 | $1,194.69 | |
Aetna
| Professional | 55 | $99.52 | $140.38 | $179.20 |
BCBS
| Facility | $4,781.81 | $4,781.81 | $5,738.17 | |
BCBS
| Professional | $901.09 | $1,126.35 | $1,325.13 | |
Cigna
| Professional | $300.00 | $1,157.98 | $1,553.54 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,957.00 | |
United
| Professional | $770.97 | $984.80 | $1,617.09 |