| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $616.60 | $1,174.90 | |
Aetna
| Professional | $173.78 | $199.53 | $239.88 | |
BCBS
| Professional | $251.19 | $263.03 | $346.74 | |
Cigna
| Facility | $162.18 | $630.96 | $1,412.54 | |
Medcost
| Facility | $186.21 | $223.87 | $426.58 | |
United
| Facility | $223.87 | $251.19 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $251.19 |