| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.90 | $204.92 | $1,245.91 | |
Aetna
| Professional | $204.92 | $204.92 | $210.18 | |
BCBS
| Professional | $262.72 | $262.72 | $359.27 | |
Cigna
| Facility | $477.47 | $647.22 | $1,497.99 | |
Medcost
| Facility | $183.90 | $262.72 | $325.77 | |
United
| Professional | $110.34 | $149.85 | $239.24 |