| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.66 | $6,393.03 | $9,647.33 | |
BCBS
| Facility | $0.77 | $1.31 | $2,783.73 | |
Cigna
| Facility | $125.35 | $125.35 | $890.00 | |
Medcost
| Facility | $121.46 | $158.62 | $249.08 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |