| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.90 | $699.66 | $4,253.93 | |
Aetna
| Professional | $699.66 | $699.66 | $780.39 | |
BCBS
| Professional | $897.00 | $941.85 | $1,226.65 | |
Cigna
| Facility | $1,630.21 | $2,600.40 | $5,114.51 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
Medcost
| Facility | $627.90 | $717.60 | $959.79 | |
Medcost
| Professional | $897.00 | $897.00 | $897.00 | |
United
| Professional | $376.74 | $538.20 | $1,076.40 |