| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.59 | $578.97 | $3,520.14 | |
Aetna
| Professional | $578.97 | $578.97 | $645.77 | |
BCBS
| Professional | $742.27 | $742.27 | $1,015.05 | |
Cigna
| Facility | $494.61 | $1,505.34 | $4,232.31 | |
Medcost
| Facility | $578.97 | $742.27 | $935.26 | |
United
| Professional | $311.75 | $408.25 | $675.92 |