| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.63 | $431.31 | $4,230.00 | |
BCBS
| Facility | $159.15 | $404.89 | $644.91 | |
Cigna
| Facility | $260.83 | $405.00 | $425.00 | |
Medcost
| Facility | $134.85 | $239.22 | $484.50 | |
United
| Facility | $100.00 | $1,138.00 | $3,585.00 |