| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.35 | $2,627.80 | $10,131.26 | |
BCBS
| Facility | $830.24 | $4,458.42 | $9,143.61 | |
Cigna
| Facility | $375.00 | $615.00 | $1,842.86 | |
Cigna
| Facility | 52 | $94.25 | $94.25 | $94.25 |
Medcost
| Facility | $108.01 | $141.36 | $214.24 | |
United
| Facility | $586.00 | $6,172.00 | $8,667.00 |