| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $4,937.68 | |
Aetna
| Professional | $877.78 | $941.74 | $990.22 | |
Aetna
| Professional | 55 | $131.66 | $141.26 | $148.53 |
BCBS
| Professional | $857.63 | $1,008.98 | $1,613.28 | |
BCBS
| Professional | 55 | $141.25 | $201.79 | $322.66 |
Cigna
| Professional | $673.73 | $999.06 | $1,777.89 | |
United
| Facility | $3,599.00 | $8,699.00 | $12,680.00 | |
United
| Professional | $665.40 | $1,097.91 | $1,460.25 |