| 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
| Facility | $7,722.56 | $7,722.56 | $7,722.56 | |
BCBS
| Professional | $274.83 | $288.57 | $379.27 | |
Cigna
| Facility | $499.48 | $677.05 | $1,567.03 | |
Medcost
| Facility | $214.37 | $274.83 | $347.28 | |
United
| Professional | $115.43 | $156.76 | $250.26 |