| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $851.14 | $1,071.52 | |
BCBS
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Cigna
| Facility | $1,122.02 | $2,137.96 | $2,137.96 | |
Medcost
| Facility | $269.15 | $446.68 | $741.31 |