| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.57 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $10.53 | $22.96 | $30.48 | |
BCBS
| Professional | $20.85 | $36.97 | $51.18 | |
Cigna
| Facility | $50.25 | $50.25 | $50.25 | |
Cigna
| Professional | $26.21 | $48.33 | $94.14 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $35.42 | $49.32 | $86.42 |