| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.98 | $4,673.00 | $9,870.00 | |
BCBS
| Facility | $698.05 | $1,871.57 | $3,480.40 | |
Cigna
| Facility | $375.00 | $615.00 | $1,139.16 | |
Medcost
| Facility | $232.32 | $317.64 | $467.11 | |
United
| Facility | $614.00 | $4,818.00 | $8,667.00 |