| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.38 | $214.37 | $1,303.36 | |
Aetna
| Professional | $214.37 | $214.37 | $219.86 | |
BCBS
| Professional | $274.83 | $274.83 | $375.83 | |
Cigna
| Facility | $499.48 | $677.05 | $1,567.03 | |
Medcost
| Facility | $214.37 | $274.83 | $329.80 | |
United
| Professional | $103.54 | $123.26 | $224.48 |