| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.95 | $235.05 | $1,429.10 | |
Aetna
| Professional | $235.05 | $235.05 | $241.08 | |
BCBS
| Professional | $301.35 | $316.42 | $415.86 | |
Cigna
| Facility | $547.67 | $742.39 | $1,718.26 | |
Medcost
| Facility | $235.05 | $301.35 | $361.62 | |
United
| Professional | $126.57 | $171.88 | $274.41 |