| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.50 | $3,023.44 | $9,062.00 | |
BCBS
| Facility | $735.00 | $1,323.03 | $2,391.67 | |
Cigna
| Facility | $375.00 | $615.00 | $1,139.16 | |
Medcost
| Facility | $296.57 | $1,442.50 | $2,163.73 | |
United
| Facility | $586.00 | $6,172.00 | $8,667.00 |