| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $2,344.23 | $4,897.79 | $9,332.54 | |
Cigna
| Facility | $575.44 | $575.44 | $575.44 | |
Medcost
| Professional | $338.84 | $338.84 | $338.84 | |
Medcost
| Facility | $109.65 | $173.78 | $275.42 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |