| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $676.08 | $1,318.26 | |
Aetna
| Professional | $177.83 | $213.80 | $275.42 | |
BCBS
| Professional | $275.42 | $295.12 | $389.05 | |
Cigna
| Facility | $177.83 | $691.83 | $1,584.89 | |
Medcost
| Facility | $204.17 | $245.47 | $501.19 | |
United
| Facility | $245.47 | $275.42 | $331.13 | |
United
| Professional | $104.71 | $147.91 | $245.47 |