| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.46 | $655.71 | $3,986.72 | |
Aetna
| Professional | $655.71 | $655.71 | $731.37 | |
BCBS
| Professional | $840.65 | $882.68 | $1,149.58 | |
Cigna
| Facility | $1,527.79 | $2,437.03 | $4,793.20 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Medcost
| Facility | $630.49 | $722.96 | $1,114.71 | |
Medcost
| Professional | $840.65 | $840.65 | $840.65 | |
United
| Facility | $756.59 | $840.65 | $840.65 | |
United
| Professional | $353.07 | $504.39 | $1,008.78 |