| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.66 | $4,230.00 | $9,870.00 | |
BCBS
| Facility | $780.00 | $1,652.14 | $2,887.55 | |
Cigna
| Facility | $375.00 | $608.12 | $781.44 | |
Medcost
| Facility | $105.84 | $170.00 | $219.27 | |
United
| Facility | $461.00 | $3,866.00 | $6,584.00 |