| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,949.84 | $3,801.89 | |
Aetna
| Professional | $562.34 | $630.96 | $870.96 | |
BCBS
| Professional | $794.33 | $851.14 | $1,122.02 | |
Cigna
| Facility | $512.86 | $1,949.84 | $4,570.88 | |
Medcost
| Facility | $478.63 | $645.65 | $1,000.00 | |
United
| Facility | $794.33 | $794.33 | $794.33 | |
United
| Professional | $331.13 | $478.63 | $794.33 |