| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $691.83 | $1,348.96 | |
Aetna
| Professional | $199.53 | $223.87 | $309.03 | |
BCBS
| Facility | $446.68 | $446.68 | $446.68 | |
BCBS
| Professional | $281.84 | $302.00 | $398.11 | |
Cigna
| Facility | $181.97 | $724.44 | $1,621.81 | |
Medcost
| Facility | $213.80 | $245.47 | $489.78 | |
United
| Facility | $257.04 | $281.84 | $338.84 | |
United
| Professional | $117.49 | $169.82 | $281.84 |