| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $9,120.11 | $18,197.01 | |
BCBS
| Facility | $2,754.23 | $4,897.79 | $9,120.11 | |
Cigna
| Facility | $707.95 | $707.95 | $1,621.81 | |
Medcost
| Professional | $645.65 | $645.65 | $645.65 | |
Medcost
| Facility | $309.03 | $436.52 | $645.65 | |
United
| Facility | $1,698.24 | $6,760.83 | $10,000.00 |