| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $1,862.09 | $3,630.78 | |
Aetna
| Professional | $537.03 | $602.56 | $831.76 | |
BCBS
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
BCBS
| Professional | $758.58 | $812.83 | $1,071.52 | |
Cigna
| Facility | $489.78 | $1,862.09 | $4,365.16 | |
Medcost
| Facility | $457.09 | $616.60 | $954.99 | |
United
| Facility | $676.08 | $758.58 | $912.01 | |
United
| Professional | $316.23 | $457.09 | $758.58 |