| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.96 | $173.96 | $1,178.55 | |
Aetna
| Professional | $198.81 | $198.81 | $198.81 | |
BCBS
| Professional | $248.51 | $260.94 | $342.94 | |
Cigna
| Facility | $451.64 | $612.20 | $1,416.94 | |
Medcost
| Facility | $193.84 | $248.51 | $313.12 | |
United
| Professional | $104.37 | $141.75 | $248.51 |