| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.40 | $1,479.15 | $13,335.00 | |
BCBS
| Facility | $2,373.28 | $5,135.30 | $9,383.48 | |
Cigna
| Facility | $580.00 | $580.00 | $580.00 | |
Medcost
| Facility | $109.26 | $179.84 | $264.94 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |