| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $707.95 | $2,398.83 | $5,623.41 | |
Cigna
| Facility | $131.83 | $131.83 | $575.44 | |
Medcost
| Professional | $134.90 | $134.90 | $288.40 | |
Medcost
| Facility | $63.10 | $123.03 | $239.88 | |
United
| Facility | $1,096.48 | $3,890.45 | $7,762.47 |