| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.46 | $473.46 | $3,207.63 | |
Aetna
| Professional | $473.46 | $473.46 | $473.46 | |
BCBS
| Facility | $13,994.02 | $13,994.02 | $13,994.02 | |
BCBS
| Professional | $676.37 | $676.37 | $924.94 | |
Cigna
| Facility | $1,229.23 | $1,666.24 | $3,856.52 | |
Medcost
| Facility | $527.57 | $676.37 | $852.23 | |
United
| Professional | $284.08 | $405.82 | $676.37 |